Coralville Counseling Center LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

CORALVILLE COUNSELING CENTER LLC

Practice address

860 22ND Ave Ste 3
Coralville, IA 52241-1687

Phone

(319) 330-7227

NPI assigned

May 9, 2024

Organization subpart

No

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

Authorized official

Name

Mrs. Bobby Jo Salm, LISW, RPT

Title

Owner, Ceo, Therapist

Phone

(319) 330-7227

Specialties & licenses 1

Addresses

Tax ID family

Coralville Counseling Center LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Coralville Counseling Center LLC

  • Clinical Social Worker
  • Coralville, IA
  • NPI 1942932736
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bobby Jo Salm, MSW

  • Social Worker
  • Marengo, IA
  • NPI 1124682059
  NPD

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

{
    "created_epoch": "1715212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716249600000",
    "number": "1245088764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 22ND AVE STE 3",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522411687",
            "telephone_number": "319-330-7227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 22ND AVE STE 3",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522411687",
            "telephone_number": "319-330-7227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORALVILLE COUNSELING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-09",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A",
        "authorized_official_last_name": "SALM",
        "authorized_official_first_name": "BOBBY JO",
        "authorized_official_title_or_position": "OWNER, CEO, THERAPIST",
        "authorized_official_telephone_number": "319-330-7227",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LISW, RPT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine A Conway, LCPC
• Mattison Cook
• Stephanie E Cooper, DDS
• Coral West Dental P.C.
• Coral West PC
• Coralville Counseling Center LLC
• Coralville Eye Associates, Inc
• Coralville Healthcare Clinic, Inc.
• Cornerstone Caregiving East LLC
• Corridor Chiropractic of Iowa PLC

• Mental Health Counselor in Coralville, IA
• Providers in Coralville, 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 May 21, 2024; 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.