Vine Christian Counseling

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

VINE CHRISTIAN COUNSELING

Practice address

6300 Rockwell Dr NE
Cedar Rapids, IA 52402-7216

Phone

(515) 402-0520

Fax

(515) 606-3523

NPI assigned

Apr 11, 2019

Organization subpart

No

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

Authorized official

Name

Mrs. Monique Jeanette Maldonado, LMHCNPI 1639611155

Title

Owner

Phone

(515) 729-8967

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Locations

Practitioners 3

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

• Monique Jeanette Maldonado, LMHC, IADC

  • Mental Health Counselor
  • Ankeny, IA
  • NPI 1639611155
  Medicare reassignment NPD Authorized official
• Melinda Crane, LMFT

  • Marriage & Family Therapist
  • Cedar Rapids, IA
  • NPI 1295282127
  Medicare reassignment NPD
• Pamela S Brown, LISW

  • Clinical Social Worker
  • Ames, IA
  • NPI 1205252970
  NPD (past)

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

{
    "created_epoch": "1554940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787961600000",
    "number": "1174086532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3311 NW ABILENE RD",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500231279",
            "telephone_number": "515-402-0520",
            "fax_number": "515-605-3523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 ROCKWELL DR NE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524027216",
            "telephone_number": "515-402-0520",
            "fax_number": "515-606-3523"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "209 E 1st St",
            "address_purpose": "LOCATION",
            "city": "Ankeny",
            "state": "IA",
            "postal_code": "500211847",
            "country_code": "US",
            "telephone_number": "515-402-0520",
            "fax_number": "515-606-3523",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VINE CHRISTIAN COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-11",
        "last_updated": "2026-08-29",
        "certification_date": "2026-08-29",
        "status": "A",
        "authorized_official_last_name": "MALDONADO",
        "authorized_official_first_name": "MONIQUE",
        "authorized_official_middle_name": "JEANETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "515-729-8967",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Cedar Rapids, IA
• Providers in Cedar Rapids, IA by specialty
• Mental Health Counselor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2026; 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.