NPIMap

Organization Active NPI

Community Centered Counseling Services, LLC.

  • Community/Behavioral Health Agency
  • Davenport, IA
National Provider Identifier
1356635759
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
03801 Issued in IA
Legal business name
COMMUNITY CENTERED COUNSELING SERVICES, LLC.
Practice address
2711 W 63Rd St
Davenport, IA 52806-1647
Phone
(563) 388-1039
Fax
(563) 388-1041
NPI assigned
Jun 2, 2011
Last updated
Aug 13, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

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

Authorized official

Name
Adam F. Vilmont, LISWNPI 1366903874
Title
Owner / Director
Phone
(563) 388-1039

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
Community/Behavioral Health Agency 251S00000X 03801 IA Primary

Addresses

Primary practice location

2711 W 63Rd St
Davenport, IA 52806-1647

Mailing address

2711 W 63Rd St
Davenport, IA 52806-1647
Phone (563) 388-1039

National Provider Directory

National Provider Directory

Locations

1222 E 37th St
Davenport, IA 52807

2711 W 63rd St
Davenport, IA 52806
Phone (563) 359-1455

2711 W 63rd St
Ste 3
Davenport, IA 52806
Phone (563) 388-1039

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1306972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786579200000",
    "number": "1356635759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2711 W 63RD ST",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528061647",
            "telephone_number": "563-388-1039",
            "fax_number": "563-388-1041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2711 W 63RD ST",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528061647",
            "telephone_number": "563-388-1039",
            "fax_number": "563-388-1041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY CENTERED COUNSELING SERVICES, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-02",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A",
        "authorized_official_last_name": "VILMONT",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "OWNER / DIRECTOR",
        "authorized_official_telephone_number": "563-388-1039",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IA",
            "license": "03801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davenport, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2026; 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.