Derfus Counseling Services, Inc.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

007315 Issued in IA

Legal business name

DERFUS COUNSELING SERVICES, INC.

Practice address

1221 Park PL NE
Suite E3
Cedar Rapids, IA 52402-2001

Phone

(319) 936-7008

Fax

(319) 363-0307

NPI assigned

Oct 10, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Richelle Derfus, LISWNPI 1215211974

Title

Owner

Phone

(319) 936-7008

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Locations

Practitioners 1

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

• Richelle L Derfus, LISW, CADC

  • Clinical Social Worker
  • Cedar Rapids, IA
  • NPI 1215211974
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1476057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476057600000",
    "number": "1639629082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 PARK PL NE",
            "address_2": "SUITE E3",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524022001",
            "telephone_number": "319-936-7008",
            "fax_number": "319-363-0307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 PARK PL NE",
            "address_2": "SUITE E3",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524022001",
            "telephone_number": "319-936-7008",
            "fax_number": "319-363-0307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERFUS COUNSELING SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-10",
        "last_updated": "2016-10-10",
        "status": "A",
        "authorized_official_last_name": "DERFUS",
        "authorized_official_first_name": "RICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "319-936-7008",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "007315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Cedar Rapids, IA
• Providers in Cedar Rapids, IA by specialty
• Clinical Social Worker in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.