Organization Active NPI

Covenant Family Solutions, LLC

  • Community/Behavioral Health Agency
  • Cedar Rapids, IA
National Provider Identifier
1407295280
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
COVENANT FAMILY SOLUTIONS, LLC
Practice address
2720 1St Ave NE Ste 300
Cedar Rapids, IA 52402-4832
Phone
(888) 336-9661
Fax
(319) 200-2516
NPI assigned
Jun 14, 2013
Last updated
Apr 1, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

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

Authorized official

Name
Jacob Dustin Christenson, PHDNPI 1275741712
Title
Ceo
Phone
(319) 261-2292

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 NU Primary

Addresses

Primary practice location

2720 1St Ave NE Ste 300
Cedar Rapids, IA 52402-4832

Mailing address

2720 1St Ave NE Ste 300
Cedar Rapids, IA 52402-4832
Phone (888) 336-9661

Other practice location 1

1655 Blairs Ferry Rd
Marion, IA 52302
Phone (319) 261-2292

Other identifiers 1

IdentifierTypeStateIssuer
600879703MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160309001544 IA Part B Supplier - Clinic/Group Practice 2264738756 Receives reassigned benefits from 5 practitioners
Practice locations: Marion, IA; Iowa City, IA; Dubuque, IA; Davenport, IA; Cedar Rapids, IA; Coralville, IA; Ames, IA; Cedar Falls, IA

National Provider Directory

National Provider Directory

Locations

515 Grand Ave
Ste 101
Ames, IA 50010
Phone (515) 232-0558

3812 Cedar Heights Dr
Cedar Falls, IA 50613
Phone (319) 260-2149

2720 1st Ave NE
Ste 300
Cedar Rapids, IA 52402
Phone (319) 200-5104

3047 Center Point Rd NE
Ste B
Cedar Rapids, IA 52402
Phone (319) 261-2292

501 12th Ave
Ste 100
Coralville, IA 52241
Phone (319) 351-1949

2346 Mormon Trek Blvd
Ste 1600
Iowa City, IA 52246
Phone (319) 351-1949

1655 Blairs Ferry Rd
Marion, IA 52302
Phone (319) 261-2292

Practitioners & affiliated clinicians

Practitioners 80

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 80

NPI Registry JSON

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

{
    "created_epoch": "1371168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743465600000",
    "number": "1407295280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2720 1ST AVE NE STE 300",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524024832",
            "telephone_number": "888-336-9661",
            "fax_number": "319-200-2516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2720 1ST AVE NE STE 300",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524024832",
            "telephone_number": "888-336-9661",
            "fax_number": "319-200-2516"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1655 Blairs Ferry Rd",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "IA",
            "postal_code": "52302",
            "country_code": "US",
            "telephone_number": "319-261-2292",
            "fax_number": "319-333-0992",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COVENANT FAMILY SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-14",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A",
        "authorized_official_last_name": "CHRISTENSON",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "DUSTIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "319-261-2292",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "600879703",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Rapids, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.