Organization Active NPI

Grit and Grace Wellness Therapy LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Waterloo, IA
National Provider Identifier
1215890090
Registry record updated Dec 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
GRIT AND GRACE WELLNESS THERAPY LLC
Practice address
531 Commercial St Ste 700
Waterloo, IA 50701-5443
Phone
(319) 486-1923
NPI assigned
Dec 8, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2025

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

Authorized official

Name
Alyssa M Prohaski, LISWNPI 1659525160
Title
Owner/Mental Health Therapist
Phone
(319) 290-6001

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

531 Commercial St Ste 700
Waterloo, IA 50701-5443

Mailing address

8102 Streeter Rd
Cedar Falls, IA 50613-9740
Phone (319) 290-6001

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260326000429 IA Part B Supplier - Clinic/Group Practice 6305321522 Receives reassigned benefits from 1 practitioner
Practice locations: Waterloo, IA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1765152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765152000000",
    "number": "1215890090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8102 STREETER RD",
            "city": "CEDAR FALLS",
            "state": "IA",
            "postal_code": "506139740",
            "telephone_number": "319-290-6001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 COMMERCIAL ST STE 700",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507015443",
            "telephone_number": "319-486-1923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRIT AND GRACE WELLNESS THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-08",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-08",
        "status": "A",
        "authorized_official_last_name": "PROHASKI",
        "authorized_official_first_name": "ALYSSA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/MENTAL HEALTH THERAPIST",
        "authorized_official_telephone_number": "319-290-6001",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterloo, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.