Organization Active NPI

Corridor Christian Counseling Center

  • Community/Behavioral Health Agency
  • North Liberty, IA
National Provider Identifier
1649569625
Registry record updated Jun 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
00228 Issued in IA
Legal business name
CORRIDOR CHRISTIAN COUNSELING CENTER
Practice address
655 Liberty Way Ste 6
North Liberty, IA 52317-9154
Phone
(319) 665-2137
NPI assigned
Mar 30, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2011

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

Authorized official

Name
Esther Johnson, M S LMFT
Title
Owner
Phone
(319) 321-9253

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 00228 IA Primary

Addresses

Primary practice location

655 Liberty Way Ste 6
North Liberty, IA 52317-9154

Mailing address

PO Box 667
North Liberty, IA 52317-0667
Phone (319) 665-2137

Other identifiers 1

IdentifierTypeStateIssuer
0115642MedicaidIA

National Provider Directory

National Provider Directory

Locations

655 Liberty Way
Ste 6
North Liberty, IA 52317
Phone (319) 665-2137

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1301443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306886400000",
    "number": "1649569625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 667",
            "city": "NORTH LIBERTY",
            "state": "IA",
            "postal_code": "523170667",
            "telephone_number": "319-665-2137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 LIBERTY WAY STE 6",
            "city": "NORTH LIBERTY",
            "state": "IA",
            "postal_code": "523179154",
            "telephone_number": "319-665-2137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORRIDOR CHRISTIAN COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-30",
        "last_updated": "2011-06-01",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "ESTHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "319-321-9253",
        "authorized_official_credential": "M S LMFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IA",
            "license": "00228",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0115642",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Liberty, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.