Cheyenne Nicole Ailiff

Individual provider Active NPI Mental Health Counselor · Davenport, IA

NPI 1437014107 · NPPES record last updated Dec 16, 2025

Key facts

NPI
1437014107
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
118466 (IA)
Practice address
111 W 15TH St
Davenport, IA 52803-4609
Phone
(563) 322-7419
NPI assigned
Dec 16, 2025
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

Medicare Care Compare profile

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

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

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
118466IAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lutheran Services in Iowa, Inc. Current
since 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

Specialties & licenses

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

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

Other providers in Davenport, IA

All providers in Davenport, IA · Mental Health Counselor in Iowa

Sources for this page

Verify at the official NPI Registry.