Christina Lin Couch, PSY.D.
Individual provider Active NPI Clinical Psychologist · Cedar Rapids, IA
NPI 1770767428 · NPPES record last updated Nov 9, 2023
Key facts
- NPI
- 1770767428
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 114176 (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
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- 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)
4403 1St Ave SE
Suite 309
Cedar Rapids, IA 52402-3221
Phone (319) 693-6996
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240105001422 | IA | Practitioner - Clinical Psychologist | 3678747136 | Practice locations: Cedar Rapids, IA |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12-019 | AR | MD | Clinical Psychologist |
| 2318 | WI | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cedar Rapids Counseling & Psychotherapy Group LLP | Current |
Accepting new patients | |
| County of Outagamie | Past |
Accepting new patients |
Locations
4403 1st Ave SE
Ste 309
Cedar Rapids, IA 52402
Phone (319) 362-0632
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 12-019 | AR | |
| Clinical Psychologist | 103TC0700X | 114176 | IA | Yes |
Addresses
Primary practice location
4403 1St Ave SE Ste 309
Cedar Rapids, IA 52402-3221
Mailing address
4403 1St Ave SE Ste 309
Cedar Rapids, IA 52402-3221
Phone (319) 693-6996
Other providers in Cedar Rapids, IA
- Candace Correa
- Corridor Counseling, PLLC
- Corridor Health Care, Inc.
- Shannon Costigan
- Cottage Grove Place
- Melissa Lynn Coulter
- Counseling at the Hearth LLC
- Countryhouse Cedar Rapids LLC
- County of Linn
- County of Linn
All providers in Cedar Rapids, IA · Clinical Psychologist in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 9, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.