Individual provider Active NPI

Shana Marie Neil, MA

  • Marriage & Family Therapist
  • Cedar Rapids, IA
National Provider Identifier
1477997807
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
000401 Issued in IA
Practice address
1221 Park PL NE Ste F
Cedar Rapids, IA 52402-2019
Phone
(319) 364-8741
Fax
(319) 368-8096
NPI assigned
Apr 29, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 000401 IA Primary

Addresses

Primary practice location

1221 Park PL NE Ste F
Cedar Rapids, IA 52402-2019

Mailing address

4408 Wenig Rd NE
Cedar Rapids, IA 52402-2211
Phone (319) 364-8741

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
000401IAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1367193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788134400000",
    "number": "1477997807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4408 WENIG RD NE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524022211",
            "telephone_number": "319-364-8741",
            "fax_number": "319-368-8096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 PARK PL NE STE F",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524022019",
            "telephone_number": "319-364-8741",
            "fax_number": "319-368-8096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEIL",
        "first_name": "SHANA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-29",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IA",
            "license": "000401",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 31, 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.