Organization Active NPI

MB Therapy, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Cedar Rapids, IA
National Provider Identifier
1659084176
Registry record updated Dec 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
MB THERAPY, PLLC
Practice address
2750 1St Ave NE, Ste 125-D
Cedar Rapids, IA 52402-4831
Phone
(319) 214-3450
NPI assigned
Dec 29, 2022
Last updated
Dec 29, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2022

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

Authorized official

Name
Mackenzie Behof, LISWNPI 1578031951
Title
Owner/Therapist
Phone
(319) 214-3450

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

2750 1St Ave NE, Ste 125-D
Cedar Rapids, IA 52402-4831

Mailing address

2750 1St Ave NE, Ste 125-D
Cedar Rapids, IA 52402-4831
Phone (319) 214-3450

National Provider Directory

National Provider Directory

Locations

2750 1st Ave NE
Ste 125D
Cedar Rapids, IA 52402
Phone (319) 214-3450

Practitioners & affiliated clinicians

Practitioners 1

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": "1672272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672272000000",
    "number": "1659084176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2750 1ST AVE NE, STE 125-D",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524024831",
            "telephone_number": "319-214-3450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 1ST AVE NE, STE 125-D",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524024831",
            "telephone_number": "319-214-3450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MB THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-29",
        "last_updated": "2022-12-29",
        "certification_date": "2022-12-29",
        "status": "A",
        "authorized_official_last_name": "BEHOF",
        "authorized_official_first_name": "MACKENZIE",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "319-214-3450",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Dec 29, 2022; 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.