Organization Active NPI

Georgia Rae Counseling Services, LLC

  • Mental Health Counselor
  • Bettendorf, IA
National Provider Identifier
1770309387
Registry record updated Jan 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
GEORGIA RAE COUNSELING SERVICES, LLC
Practice address
2435 Kimberly Rd Ste 25N
Bettendorf, IA 52722-3507
Phone
(563) 396-2625
Fax
(563) 296-8989
NPI assigned
Nov 27, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2026

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

Authorized official

Name
Laurel Vanklaveren, PSYD, LMHC, LCPCNPI 1427230283
Title
Owner and Therapist
Phone
(563) 396-2625

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X

Addresses

Primary practice location

2435 Kimberly Rd Ste 25N
Bettendorf, IA 52722-3507

Mailing address

2435 Kimberly Rd Ste 25N
Bettendorf, IA 52722-3507
Phone (563) 396-2625

National Provider Directory

National Provider Directory

Locations

2435 Kimberly Rd
Ste 25N
Bettendorf, IA 52722
Phone (563) 396-2625

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1732665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768435200000",
    "number": "1770309387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2435 KIMBERLY RD STE 25N",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527223507",
            "telephone_number": "563-396-2625",
            "fax_number": "563-296-8989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2435 KIMBERLY RD STE 25N",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527223507",
            "telephone_number": "563-396-2625",
            "fax_number": "563-296-8989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA RAE COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-27",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A",
        "authorized_official_last_name": "VANKLAVEREN",
        "authorized_official_first_name": "LAUREL",
        "authorized_official_title_or_position": "OWNER AND THERAPIST",
        "authorized_official_telephone_number": "563-396-2625",
        "authorized_official_credential": "PSYD, LMHC, LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bettendorf, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2026; 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.