Organization Active NPI

Resilient Mind Therapy and Neurofeedback PLLC

  • Marriage & Family Therapist
  • Cedar Rapids, IA
National Provider Identifier
1831900950
Registry record updated Jan 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 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
Last updated
Jan 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2025

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

Authorized official

Name
Dr. Rebecca Rae Louison, PHDNPI 1730737826
Title
Owner
Phone
(319) 214-0340

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250718000504 IA Part B Supplier - Clinic/Group Practice 0042726929 Receives reassigned benefits from 3 practitioners
Practice locations: Cedar Rapids, IA

National Provider Directory

National Provider Directory

Locations

1951 51st St NE
#1
Cedar Rapids, IA 52402
Phone (319) 214-0350

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1737072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737072000000",
    "number": "1831900950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "289 SUSSEX DR NE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524021411",
            "telephone_number": "319-214-0340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 16TH ST NE STE 201",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524024665",
            "telephone_number": "319-214-0340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESILIENT MIND THERAPY AND NEUROFEEDBACK PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-17",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A",
        "authorized_official_last_name": "LOUISON",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "319-214-0340",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Rapids, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.