Individual provider Active NPI

Leona Childs, TLMHC

  • Mental Health Counselor
  • Cedar Rapids, IA
National Provider Identifier
1487168902
Registry record updated Nov 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
086784 Issued in IA
Practice address
3726 Queen CT SW Ste 103
Cedar Rapids, IA 52404-3903
Phone
(319) 361-6529
NPI assigned
Nov 20, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2017

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 086784 IA Primary

Addresses

Primary practice location

3726 Queen CT SW Ste 103
Cedar Rapids, IA 52404-3903

Mailing address

2712 Dalewood Ave SE
Cedar Rapids, IA 52403-3031
Phone (319) 721-9024

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
086784IAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Healthsource of Cedar Rapids SW, LLC PastSince Jan 24, 2016 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1511136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511136000000",
    "number": "1487168902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2712 DALEWOOD AVE SE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524033031",
            "telephone_number": "319-721-9024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3726 QUEEN CT SW STE 103",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524043903",
            "telephone_number": "319-361-6529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHILDS",
        "first_name": "LEONA",
        "credential": "TLMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-20",
        "last_updated": "2017-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "086784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Rapids, IA

Sources for this page

Verify at the official NPI Registry.