Organization Active NPI

De Novo Counseling & Therapy, LLC

  • Clinical Social Worker
  • Coralville, IA
National Provider Identifier
1477423275
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
DE NOVO COUNSELING & THERAPY, LLC
Practice address
2421 Coral CT Ste 129
Coralville, IA 52241-2886
Phone
(319) 322-8887
NPI assigned
Nov 6, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2025

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

Authorized official

Name
Ms. Kimberly Kay Anderson, LISWNPI 1447602743
Title
Clinical Therapist
Phone
(319) 594-8010

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

2421 Coral CT Ste 129
Coralville, IA 52241-2886

Mailing address

761 Camp Cardinal Blvd # 2271
Coralville, IA 52241-2893
Phone (319) 322-8887

National Provider Directory

National Provider Directory

Locations

761 Camp Cardinal Blvd
#2271
Coralville, IA 52241

2421 Coral Ct
Ste 129
Coralville, IA 52241
Phone (319) 322-8887

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1762387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762387200000",
    "number": "1477423275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "761 CAMP CARDINAL BLVD # 2271",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522412893",
            "telephone_number": "319-322-8887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2421 CORAL CT STE 129",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522412886",
            "telephone_number": "319-322-8887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DE NOVO COUNSELING & THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-06",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "CLINICAL THERAPIST",
        "authorized_official_telephone_number": "319-594-8010",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coralville, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2025; 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.