Active NPI
Mycailah Grace Salvador, TLMHC
- Mental Health Counselor
- Cedar Falls, IA
National Provider Identifier
1346924099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 119573
- Practice address
- 409 Washington St
Cedar Falls, IA 50613-2812 - Phone
- (319) 220-4112
- NPI assigned
- Jun 13, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 119573 | IA | Primary |
Addresses
Primary practice location
409 Washington St
Cedar Falls, IA 50613-2812
Mailing address
825.5 Main St
Cedar Falls, IA 50613
Phone (319) 601-6438
Other names 1
- Mycailah Grace Johnson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 119573 | IA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686614400000",
"number": "1346924099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "825.5 MAIN ST",
"city": "CEDAR FALLS",
"state": "IA",
"postal_code": "50613",
"telephone_number": "319-601-6438"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "409 WASHINGTON ST",
"city": "CEDAR FALLS",
"state": "IA",
"postal_code": "506132812",
"telephone_number": "319-220-4112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALVADOR",
"first_name": "MYCAILAH",
"middle_name": "GRACE",
"name_prefix": "Miss",
"credential": "TLMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-13",
"last_updated": "2023-06-13",
"certification_date": "2023-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IA",
"license": "119573",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MYCAILAH",
"last_name": "JOHNSON",
"middle_name": "GRACE",
"code": "1",
"type": "Former Name"
}
]
}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 Jun 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.