Active NPI
Alyssa Marie Caldwell, LMFT
- Marriage & Family Therapist
- Hiawatha, IA
National Provider Identifier
1710617030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 101229
- Practice address
- 1089 Longfellow Dr Ste C
Hiawatha, IA 52233-2032 - Phone
- (319) 209-4625
- NPI assigned
- Jun 10, 2022
- Last updated
- Jun 10, 2022
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 101229 | IA | Primary |
Addresses
Primary practice location
1089 Longfellow Dr Ste C
Hiawatha, IA 52233-2032
Mailing address
409 Owen St NW
Cedar Rapids, IA 52405-3442
Phone (319) 350-0653
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | https://www.simplepractice.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 101229 | IA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sparkle Therapy Group | Marriage & Family Therapist | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Marriage & Family Therapist
- Cedar Rapids, IA
- NPI 1447119748
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654819200000",
"number": "1710617030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "409 OWEN ST NW",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "524053442",
"telephone_number": "319-350-0653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1089 LONGFELLOW DR STE C",
"city": "HIAWATHA",
"state": "IA",
"postal_code": "522332032",
"telephone_number": "319-209-4625"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALDWELL",
"first_name": "ALYSSA",
"middle_name": "MARIE",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-10",
"last_updated": "2022-06-10",
"certification_date": "2022-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "IA",
"license": "101229",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "https://www.simplepractice.com",
"affiliation": "N",
"endpointDescription": "telehealth platform; EHR platform",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Simple Practice Telehealth; EHR Platform",
"address_1": "1089 Longfellow Dr Ste C",
"city": "Hiawatha",
"state": "IA",
"country_code": "US",
"postal_code": "522332032",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Hiawatha, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.