Organization Active NPI

Cedar Rapids Counseling & Psychotherapy Group LLP

  • Clinical Social Worker
  • Cedar Rapids, IA
National Provider Identifier
1609824911
Registry record updated Apr 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
CEDAR RAPIDS COUNSELING & PSYCHOTHERAPY GROUP LLP
Practice address
118 2ND St SE
Ste 220
Cedar Rapids, IA 52401-1201
Phone
(319) 362-0632
Fax
(319) 362-5206
NPI assigned
May 5, 2006
Last updated
Apr 26, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2011

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

Authorized official

Name
David Carey
Title
Business Manager
Phone
(319) 362-0632

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X IA
Clinical Social Worker 1041C0700X IA Primary

Addresses

Primary practice location

118 2ND St SE
Ste 220
Cedar Rapids, IA 52401-1201

Mailing address

118 2ND St SE
Ste 220
Cedar Rapids, IA 52401-1201
Phone (319) 362-0632

Other identifiers 2

IdentifierTypeStateIssuer
0474924MedicaidIA
36070OtherIAWELLMARK BCBS

National Provider Directory

National Provider Directory

Locations

118 2nd St SE
Ste 220
Cedar Rapids, IA 52401
Phone (319) 362-0632

4403 1st Ave SE
Ste 309
Cedar Rapids, IA 52402
Phone (319) 362-0632

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303776000000",
    "number": "1609824911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 2ND ST SE",
            "address_2": "STE 220",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524011201",
            "telephone_number": "319-362-0632",
            "fax_number": "319-362-5206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 2ND ST SE",
            "address_2": "STE 220",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524011201",
            "telephone_number": "319-362-0632",
            "fax_number": "319-362-5206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDAR RAPIDS COUNSELING & PSYCHOTHERAPY GROUP LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-05",
        "last_updated": "2011-04-26",
        "status": "A",
        "authorized_official_last_name": "CAREY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "319-362-0632"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IA",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0474924",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BCBS",
            "identifier": "36070",
            "state": "IA"
        }
    ],
    "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 Apr 26, 2011; 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.