Organization Active NPI

Coli, LLC

  • Mental Health Counselor
  • Cedar Rapids, IA
National Provider Identifier
1497567150
Registry record updated Jan 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
COLI, LLC
Practice address
4012 Paradise CT NW
Cedar Rapids, IA 52405-1984
Phone
(319) 640-4413
NPI assigned
Jan 21, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2025

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

Authorized official

Name
Alyssa Hennings, LMHC
Title
Therapist
Phone
(563) 542-9349

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

4012 Paradise CT NW
Cedar Rapids, IA 52405-1984

Mailing address

215 4TH Ave SE Ste 200
Cedar Rapids, IA 52401-1844

Other names 1

  • Paradise Recovery Doing business as

National Provider Directory

National Provider Directory

Locations

215 4th Ave SE
Ste 200
Cedar Rapids, IA 52401

NPI Registry JSON

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

{
    "created_epoch": "1737417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737417600000",
    "number": "1497567150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 4TH AVE SE STE 200",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524011844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4012 PARADISE CT NW",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524051984",
            "telephone_number": "319-640-4413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLI, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-21",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A",
        "authorized_official_last_name": "HENNINGS",
        "authorized_official_first_name": "ALYSSA",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "563-542-9349",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Paradise Recovery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 21, 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.