Organization Active NPI

Safe Space Therapy

  • Clinical Social Worker
  • Cedar Falls, IA
National Provider Identifier
1205707577
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SAFE SPACE THERAPY
Practice address
3301 Cedar Heights Dr
Cedar Falls, IA 50613-6041
Phone
(319) 493-7613
Fax
(319) 249-0508
NPI assigned
Sep 17, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

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

Authorized official

Name
Nichelle Catherine Blakesley, LISWNPI 1184384455
Title
Owner
Phone
(319) 493-7613

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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

3301 Cedar Heights Dr
Cedar Falls, IA 50613-6041

Mailing address

3301 Cedar Heights Dr
Cedar Falls, IA 50613-6041
Phone (319) 493-7613

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251021004461 IA Part B Supplier - Clinic/Group Practice 8527556653 Receives reassigned benefits from 1 practitioner
Practice locations: Cedar Falls, IA

National Provider Directory

National Provider Directory

Locations

3301 Cedar Heights Dr
Cedar Falls, IA 50613
Phone (319) 214-5063

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or 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-2",
    "last_updated_epoch": "1758758400000",
    "number": "1205707577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 CEDAR HEIGHTS DR",
            "city": "CEDAR FALLS",
            "state": "IA",
            "postal_code": "506136041",
            "telephone_number": "319-493-7613",
            "fax_number": "319-249-0508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 CEDAR HEIGHTS DR",
            "city": "CEDAR FALLS",
            "state": "IA",
            "postal_code": "506136041",
            "telephone_number": "319-493-7613",
            "fax_number": "319-249-0508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFE SPACE THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-17",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A",
        "authorized_official_last_name": "BLAKESLEY",
        "authorized_official_first_name": "NICHELLE",
        "authorized_official_middle_name": "CATHERINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "319-493-7613",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Falls, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2025; 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.