Darci Kobolt

Primary specialty

Social WorkerTaxonomy code 104100000X

License

091048 Issued in IA

Practice address

9550 White Oak LN Ste 200
Johnston, IA 50131-2267

Phone

(515) 259-8110

NPI assigned

Aug 23, 2018

Last updated

Nov 15, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Creative Community Options Inc

  dba Candeo

  • Day Training/Habilitation Specialist
  • Johnston, IA
  • NPI 1023149267
  NPD (past)

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

{
    "created_epoch": "1534982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542240000000",
    "number": "1841771391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9550 WHITE OAK LN STE 200",
            "city": "JOHNSTON",
            "state": "IA",
            "postal_code": "501312267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9550 WHITE OAK LN STE 200",
            "city": "JOHNSTON",
            "state": "IA",
            "postal_code": "501312267",
            "telephone_number": "515-259-8110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOBOLT",
        "first_name": "DARCI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-23",
        "last_updated": "2018-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IA",
            "license": "091048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kids Lead, LLC
• Katherine Kline
• Fredrick T Klingbeil, MD
• Haley Lynn Kloberdanz, ARNP, PMHNP-BC
• Joshua Erich Klunker
• Christine Koepplin, LMSW
• Shawn Kolb, BCBA
• Kore Physical Therapy PLLC
• Kyle Kosman, RN
• KT's Careride LLC

• Social Worker in Johnston, IA
• Providers in Johnston, IA by specialty
• Social Worker in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2018; 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.