Resilient Mind Therapy and Neurofeedback PLLC
Organization Active NPI Marriage & Family Therapist · Cedar Rapids, IA
NPI 1831900950 · NPPES record last updated Jan 17, 2025
Key facts
- NPI
- 1831900950
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- Legal business name
- RESILIENT MIND THERAPY AND NEUROFEEDBACK PLLC
- Practice address
- 700 16TH St NE Ste 201
Cedar Rapids, IA 52402-4665 - Phone
- (319) 214-0340
- NPI assigned
- Jan 17, 2025
- Organization subpart
- No
Authorized official
- Name
- Dr. Rebecca Rae Louison, PHD
- Title
- Owner
- Phone
- (319) 214-0340
Practitioners 3
-
Rebecca Rae Louison, T-LMFT
-
John-Paul Latham Blix, LMFT-T
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250718000504 | IA | Part B Supplier - Clinic/Group Practice | 0042726929 |
Receives reassigned benefits from 3 practitioners Practice locations: Cedar Rapids, IA |
National Provider Directory
Locations
1951 51st St NE
#1
Cedar Rapids, IA 52402
Phone (319) 214-0350
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist |
106H00000X | Yes |
Addresses
Primary practice location
700 16TH St NE Ste 201
Cedar Rapids, IA 52402-4665
Mailing address
289 Sussex Dr NE
Cedar Rapids, IA 52402-1411
Phone (319) 214-0340
Other providers in Cedar Rapids, IA
- Aaron Rempp
- Lori Renner
- Emmaly Renshaw
- Anastasia Renville
- Res-Care Iowa, Inc.
- Resilient Minds Counseling LLC
- Resources for Human Development, Inc
- Resources for Human Development,Inc.
- Respiratory & Critical Care Associates PLLC
- Respiratory and Critical Care Associates
All providers in Cedar Rapids, IA · Marriage & Family Therapist in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 17, 2025. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.