Active NPI
Nicole Elliott, LMHC
- Mental Health Counselor
- Cedar Rapids, IA
National Provider Identifier
1194696567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 134427
- Practice address
- 4056 Glass Rd NE
Cedar Rapids, IA 52402-2509 - Phone
- (319) 775-0727
- NPI assigned
- Sep 17, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 134427 | IA | Primary |
Addresses
Primary practice location
4056 Glass Rd NE
Cedar Rapids, IA 52402-2509
Mailing address
1524 Alder Dr
North Liberty, IA 52317-4714
Phone (319) 331-9784
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 134427 | IA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Wellness Collective | Mental Health | Current | Accepting new patients |
Locations
4056 Glass Rd NE
Cedar Rapids, IA 52402
Phone (319) 775-0727
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1758067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758067200000",
"number": "1194696567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1524 ALDER DR",
"city": "NORTH LIBERTY",
"state": "IA",
"postal_code": "523174714",
"telephone_number": "319-331-9784"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4056 GLASS RD NE",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "524022509",
"telephone_number": "319-775-0727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLIOTT",
"first_name": "NICOLE",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-09-17",
"last_updated": "2025-09-17",
"certification_date": "2025-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IA",
"license": "134427",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cedar Rapids, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.