Kaitlin Gudenkauf, TLMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

083021 Issued in IA

Practice address

520 11TH St NW
Cedar Rapids, IA 52405-3811

Phone

(319) 398-3562

Fax

(319) 398-3501

NPI assigned

Mar 10, 2017

Last updated

Mar 10, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Marriage and Family Therapist

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Catholic Charities of the Archdiocese of Dubuque IowaGroup PAC ID 5294998027, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Catholic Charities of the Archdiocese of Dubuque Iowa

  • Community/Behavioral Health Agency
  • Dubuque, IA
  • NPI 1144555376
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1489104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489104000000",
    "number": "1669913620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 11TH ST NW",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524053811",
            "telephone_number": "319-398-3562",
            "fax_number": "319-398-3501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 11TH ST NW",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524053811",
            "telephone_number": "319-398-3562",
            "fax_number": "319-398-3501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUDENKAUF",
        "first_name": "KAITLIN",
        "credential": "TLMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-10",
        "last_updated": "2017-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IA",
            "license": "083021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynn Ann Groth, ATC LAT
• Amanda Marie Grove
• Renee Grummer Miller, LISW
• Guardian Pharmacy of Iowa LLC
• Angela Lynne Gudenkauf
• Anthony Guerra, PHARMD
• Melinda Guerra, PHARMD
• Suzanne Guider, ATC, LAT
• Guiding Light Counseling Center LLC
• Brianne Ranae Guinn, L.M.S.W.

• Marriage & Family Therapist in Cedar Rapids, IA
• Providers in Cedar Rapids, IA by specialty
• Marriage & Family Therapist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2017; 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.

Verify at the official NPI Registry.