Individual provider Active NPI

Cheyenne Nicole Ailiff

  • Mental Health Counselor
  • Davenport, IA
National Provider Identifier
1437014107
Registry record updated Dec 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
118466 Issued in IA
Practice address
111 W 15TH St
Davenport, IA 52803-4609
Phone
(563) 322-7419
NPI assigned
Dec 16, 2025
Last updated
Dec 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 118466 IA Primary

Addresses

Primary practice location

111 W 15TH St
Davenport, IA 52803-4609

Mailing address

111 W 15TH St
Davenport, IA 52803-4609
Phone (563) 322-7419

Other practice location 1

2107 Cedar St
Muscatine, IA 52761-2607
Phone (563) 322-7419 ext. 6511

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260205002671 IA Practitioner - Clinical Social Worker 4789163254 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3125 Cottage Grove Ave
Des Moines, IA 50311-3809

3125 Cottage Grove Ave
Des Moines, IA 50311-3894

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
118466IAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lutheran Services in Iowa, Inc. CurrentSince Dec 27, 2025 Accepting new patients

Locations

3125 Cottage Grove Ave
Des Moines, IA 50311
Phone (515) 274-4946

2107 Cedar St
Muscatine, IA 52761
Phone (563) 263-5170

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1765843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765843200000",
    "number": "1437014107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 W 15TH ST",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528034609",
            "telephone_number": "563-322-7419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 W 15TH ST",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528034609",
            "telephone_number": "563-322-7419"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2107 Cedar St",
            "address_purpose": "LOCATION",
            "city": "Muscatine",
            "state": "IA",
            "postal_code": "527612607",
            "country_code": "US",
            "telephone_number": "563-322-7419 x6511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AILIFF",
        "first_name": "CHEYENNE",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-12-16",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "118466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davenport, IA

Sources for this page

Verify at the official NPI Registry.