Chelyne J. Cunningham Counseling, Inc.

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

006960 Issued in IA

Legal business name

CHELYNE J. CUNNINGHAM COUNSELING, INC.

Practice address

939 Office Park Rd Ste 103
West Des Moines, IA 50265-2505

Phone

(515) 221-1989

NPI assigned

Aug 8, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Chelyne Jeanette Cunningham-Sullivan, LISWNPI 1659541126

Title

President

Phone

(515) 221-1989

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chelyne Jeanette Cunningham-Sullivan, LISW

  • Social Worker
  • West Des Moines, IA
  • NPI 1659541126
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1533686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543795200000",
    "number": "1154800456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 7TH AVENUE CT NE",
            "city": "ALTOONA",
            "state": "IA",
            "postal_code": "500091937",
            "telephone_number": "319-321-4473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "939 OFFICE PARK RD STE 103",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502652505",
            "telephone_number": "515-221-1989"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1231 8th St Ste 238",
            "address_purpose": "LOCATION",
            "city": "West Des Moines",
            "state": "IA",
            "postal_code": "502652639",
            "country_code": "US",
            "telephone_number": "515-221-1989",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHELYNE J. CUNNINGHAM COUNSELING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-08",
        "last_updated": "2018-12-03",
        "status": "A",
        "authorized_official_last_name": "CUNNINGHAM-SULLIVAN",
        "authorized_official_first_name": "CHELYNE",
        "authorized_official_middle_name": "JEANETTE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "515-221-1989",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "IA",
            "license": "006960",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1659541126",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adam Chadderdon
• Pamela B Chambers, PAC
• Vimala Varikottil Chandran, M.D.
• Denise Chappelear, FNP-C
• Miah Cheatham
• Brycen Bly Cheney
• Leticiah Chepkwony
• Cheryl Anne Garland
• James Henry Chesnutt, M.DIV,PSY.D.
• David Kum-Wah Chew, M.D.

• Mental Health Clinic/Center (Including Community Mental Health Center) in West Des Moines, IA
• Providers in West Des Moines, IA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.