Organization Active NPI

Liberty Therapy Associates LLC

  • Marriage & Family Therapist
  • North Liberty, IA
National Provider Identifier
1659743656
Registry record updated Oct 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
146 Issued in IA
Legal business name
LIBERTY THERAPY ASSOCIATES LLC
Practice address
595 Ashley CT Ste 1
North Liberty, IA 52317-4758
Phone
(319) 321-9790
NPI assigned
Oct 29, 2015
Last updated
Oct 29, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2015

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

Authorized official

Name
Christine Skow
Title
Business Manager
Phone
(319) 321-9790

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X 146 IA Primary

Addresses

Primary practice location

595 Ashley CT Ste 1
North Liberty, IA 52317-4758

Mailing address

595 Ashley CT Ste 1
North Liberty, IA 52317-4758
Phone (319) 321-9790

National Provider Directory

National Provider Directory

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": "1446076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446076800000",
    "number": "1659743656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 ASHLEY CT STE 1",
            "city": "NORTH LIBERTY",
            "state": "IA",
            "postal_code": "523174758",
            "telephone_number": "319-321-9790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 ASHLEY CT STE 1",
            "city": "NORTH LIBERTY",
            "state": "IA",
            "postal_code": "523174758",
            "telephone_number": "319-321-9790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY THERAPY ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-29",
        "last_updated": "2015-10-29",
        "status": "A",
        "authorized_official_last_name": "SKOW",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "319-321-9790"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "IA",
            "license": "146",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 29, 2015; 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.