Charles Trunck

Key facts

NPI

1144969650

Entity type

Individual (NPI type 1)

Primary specialty

Mental Health Counselor 101YM0800X

Practice address

4615 Chadwick Rd Ste 2
Cedar Falls, IA 50613-8091

Phone

(319) 255-5660

NPI assigned

Jun 2, 2022

Sex

Male

Sole proprietor

Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Candeo Counseling Center Inc Counselor · Cedar Falls, IA · NPI 1720684665
  NPD

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Practice roles

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 2, 2022.

{
    "created_epoch": "1654128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654128000000",
    "number": "1144969650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4615 CHADWICK RD STE 2",
            "city": "CEDAR FALLS",
            "state": "IA",
            "postal_code": "506138091",
            "telephone_number": "319-255-5660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4615 CHADWICK RD STE 2",
            "city": "CEDAR FALLS",
            "state": "IA",
            "postal_code": "506138091",
            "telephone_number": "319-255-5660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUNCK",
        "first_name": "CHARLES",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-02",
        "last_updated": "2022-06-02",
        "certification_date": "2022-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Cedar Falls, IA · Mental Health Counselor in Iowa