Active NPI
Therapy Place, Inc.
- Clinical Social Worker
- Atlantic, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 00732
- Legal business name
- THERAPY PLACE, INC.
- Practice address
- 101 E 22ND St
Atlantic, IA 50022-2879 - Phone
- (712) 254-9018
- Fax
- (712) 254-9019
- NPI assigned
- Dec 13, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Caitlin Kaufman, LMHC
- Title
- President
- Phone
- (402) 350-9901
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 00732 | IA | Primary |
Addresses
Primary practice location
101 E 22ND St
Atlantic, IA 50022-2879
Mailing address
101 E 22ND St
Atlantic, IA 50022-2879
Phone (712) 254-9018
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 250982000 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040823000777 | IA | Part B Supplier - Clinic/Group Practice | 8628042983 |
Receives reassigned benefits from 15 practitioners Practice locations: Anita, IA; Atlantic, IA; Council Bluffs, IA; Harlan, IA |
National Provider Directory
National Provider DirectoryLocations
500 Willow Ave
Ste 200
Council Bluffs, IA 51503
Phone (712) 249-0739
427 E Kanesville Blvd
Ste 405412
Council Bluffs, IA 51503
427 E Kanesville Blvd
Ste 101
Council Bluffs, IA 51503
Phone (712) 328-0297
427 E Kanesville Blvd
Ste 102103
Council Bluffs, IA 51503
532 1st Ave
Ste 300
Council Bluffs, IA 51503
Phone (402) 310-5230
210 N 25th St
Denison, IA 51442
Phone (712) 249-0739
1108 8th St
Harlan, IA 51537
745 April St
Waterloo, IA 50701
268 N 115th St
Ste 6
Omaha, NE 68154
Practitioners & affiliated clinicians
Practitioners 28
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Omaha, NE
- NPI 1619035425
IA
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1730332800000",
"number": "1194886028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 E 22ND ST",
"city": "ATLANTIC",
"state": "IA",
"postal_code": "500222879",
"telephone_number": "712-254-9018",
"fax_number": "712-254-9019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 E 22ND ST",
"city": "ATLANTIC",
"state": "IA",
"postal_code": "500222879",
"telephone_number": "712-254-9018",
"fax_number": "712-254-9019"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THERAPY PLACE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-13",
"last_updated": "2024-10-31",
"certification_date": "2024-10-31",
"status": "A",
"authorized_official_last_name": "KAUFMAN",
"authorized_official_first_name": "CAITLIN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "402-350-9901",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LMHC"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "IA",
"license": "00732",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "250982000",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Atlantic, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; 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.