Active NPI
Chelyne Jeanette Cunningham-Sullivan, LISW
- Social Worker
- West Des Moines, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 006960
- Practice address
- 939 Office Park Rd Ste 103
West Des Moines, IA 50265-2505 - Phone
- (515) 221-1989
- NPI assigned
- Mar 11, 2008
- Last updated
- Dec 3, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 006960 | IA | Primary |
Addresses
Primary practice location
939 Office Park Rd Ste 103
West Des Moines, IA 50265-2505
Mailing address
939 Office Park Rd Ste 103
West Des Moines, IA 50265-2505
Phone (515) 221-1989
Other practice location 1
200 4th Ave W
Grinnell, IA 50112-1833
Phone (641) 236-6137
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- University of Iowa, RJ & L Carver College of Medicine, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
939 Office Park Rd
Suite 103
West Des Moines, IA 50265-2505
Phone (515) 221-1989
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chelyne J. Cunningham Counseling, Inc. | Current | Accepting new patients | |
| Capstone Behavioral Healthcare, Inc | Past | Accepting new patients | |
| Poweshiek County Mental Health Center | Past | Accepting new patients |
Locations
939 Office Park Rd
Ste 103
West Des Moines, IA 50265
Phone (515) 221-1989
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- West Des Moines, IA
- NPI 1154800456
-
- Community/Behavioral Health Agency
- Newton, IA
- NPI 1174598908
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Grinnell, IA
- NPI 1528166360
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543795200000",
"number": "1659541126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "939 OFFICE PARK RD STE 103",
"city": "WEST DES MOINES",
"state": "IA",
"postal_code": "502652505",
"telephone_number": "515-221-1989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "939 OFFICE PARK RD STE 103",
"city": "WEST DES MOINES",
"state": "IA",
"postal_code": "502652505",
"telephone_number": "515-221-1989"
}
],
"practiceLocations": [
{
"address_1": "200 4th Ave W",
"address_purpose": "LOCATION",
"city": "Grinnell",
"state": "IA",
"postal_code": "501121833",
"country_code": "US",
"telephone_number": "641-236-6137",
"fax_number": "641-236-0206",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CUNNINGHAM-SULLIVAN",
"first_name": "CHELYNE",
"middle_name": "JEANETTE",
"credential": "LISW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-11",
"last_updated": "2018-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IA",
"license": "006960",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.