Christina Lin Couch, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

114176 Issued in IA

Practice address

4403 1St Ave SE Ste 309
Cedar Rapids, IA 52402-3221

Phone

(319) 693-6996

Fax

(888) 529-6759

NPI assigned

Dec 18, 2007

Last updated

Nov 9, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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

Clinical Psychologist

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• Cedar Rapids Counseling & Psychotherapy Group LLP

  • Clinical Social Worker
  • Cedar Rapids, IA
  • NPI 1609824911
  NPD
• County of Outagamie

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Appleton, WI
  • NPI 1629138995
  NPD (past)

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

{
    "created_epoch": "1197936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699488000000",
    "number": "1770767428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4403 1ST AVE SE STE 309",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524023221",
            "telephone_number": "319-693-6996",
            "fax_number": "888-529-6759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4403 1ST AVE SE STE 309",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524023221",
            "telephone_number": "319-693-6996",
            "fax_number": "888-529-6759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUCH",
        "first_name": "CHRISTINA",
        "middle_name": "LIN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-18",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AR",
            "license": "12-019",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IA",
            "license": "114176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Candace Correa, M.D.
• Corridor Counseling, PLLC
• Corridor Health Care, Inc.
• Shannon Costigan, OTR/L
• Cottage Grove Place
• Melissa Lynn Coulter, ARNP
• Counseling at the Hearth LLC
• Countryhouse Cedar Rapids LLC
• County of Linn (Linn County Public Health)
• County of Linn (Linn County LFTS)

• Clinical Psychologist in Cedar Rapids, IA
• Providers in Cedar Rapids, IA by specialty
• Clinical Psychologist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; 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.