Coffelt Counseling Services LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

COFFELT COUNSELING SERVICES LLC

Practice address

2117 State St Ste 250
Bettendorf, IA 52722-5164

Phone

(563) 949-1124

NPI assigned

Apr 5, 2025

Last updated

Apr 5, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Susan Roggendorf, LMCH, LCPCNPI 1316326036

Title

Owner

Phone

(563) 210-2359

Specialties & licenses 1

Addresses

Other identifiers 2

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.

• Susan Roggendorf, QMHP, LMHC, LPC

  • Mental Health Counselor
  • Bettendorf, IA
  • NPI 1316326036
  NPD Authorized official

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

{
    "created_epoch": "1743811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743811200000",
    "number": "1235923376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1312 CHATEAU KNLS",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527223417",
            "telephone_number": "563-210-2359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2117 STATE ST STE 250",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527225164",
            "telephone_number": "563-949-1124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COFFELT COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-05",
        "last_updated": "2025-04-05",
        "certification_date": "2025-04-05",
        "status": "A",
        "authorized_official_last_name": "ROGGENDORF",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "563-210-2359",
        "authorized_official_credential": "LMCH, LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCPC",
            "identifier": "180.011632",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LMHC",
            "identifier": "072145",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jenna Alyse Chumbley
• Rebecca Lee Clark, RN IBCLC
• Tina Coakley, ARNP
• Cheyanne Cobb, DC
• Jennifer Cobb, LMHC
• Stefanie A Coiner, PA-C
• Kathleen Elizabeth Collins, LMHC
• Simone Lorraine Kazel Collins
• Community Health and Immunization Services, LLC
• Compass Child Counseling, LLC

• Mental Health Counselor in Bettendorf, IA
• Providers in Bettendorf, 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 Apr 5, 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.

Verify at the official NPI Registry.