Children of Promise Mentoring Program
Organization Active NPI Mental Health Counselor · Cedar Rapids, IA
NPI 1265130587 · NPPES record last updated Feb 16, 2023
Key facts
- NPI
- 1265130587
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Legal business name
- CHILDREN OF PROMISE MENTORING PROGRAM
- Practice address
- 1030 5TH Ave SE Ste 1200
Cedar Rapids, IA 52403-2428 - Phone
- (319) 529-1543
- NPI assigned
- Feb 16, 2023
- Organization subpart
- No
Authorized official
- Name
- Mr. Daniel Pledgejohnson, MSW
- Title
- Behavior Health Counselor
- Phone
- (319) 529-1543
Corporate family (same tax ID) 1
Practitioners 1
National Provider Directory
- Tax ID family
- Children of Promise Mentoring Program
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor |
101YM0800X | Yes | ||
| Community/Behavioral Health Agency | 251S00000X |
Addresses
Primary practice location
1030 5TH Ave SE Ste 1200
Cedar Rapids, IA 52403-2428
Mailing address
1143 Longfellow Ave
Waterloo, IA 50703-1720
Phone (319) 529-1543
Other practice location 1
520 11th St NW
Cedar Rapids, IA 52405-3811
Phone (319) 529-1543
Other providers in Cedar Rapids, IA
- Erin Chaplin
- Umar Shafique Chaudhry
- Mohit K Chawla
- Chelsea Cheney
- Bogdan Nicolae Cherascu
- Children of Promise Mentoring Program
- Leona Childs
- Peter Carl Chimenti
- William Ching
- Chiropractic Health Care Associates P.C.
All providers in Cedar Rapids, IA · Mental Health Counselor in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 16, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.