Coralville Counseling Center LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

CORALVILLE COUNSELING CENTER LLC

Practice address

2431 Coral CT Ste 4
Coralville, IA 52241-2838

Phone

(319) 359-7047

NPI assigned

Jun 29, 2022

Organization subpart

No

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

Authorized official

Name

Mrs. Bobby Jo Salm, LISW, LICWNPI 1124682059

Title

Therapist

Phone

(319) 330-7227

Specialties & licenses 1

Addresses

Tax ID family

Coralville Counseling Center LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Coralville Counseling Center LLC

  • Mental Health Counselor
  • Coralville, IA
  • NPI 1245088764
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bobby Jo Salm, MSW

  • Social Worker
  • Marengo, IA
  • NPI 1124682059
  NPD Authorized official

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

{
    "created_epoch": "1656460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656460800000",
    "number": "1942932736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 REDBIRD RUN",
            "city": "TIFFIN",
            "state": "IA",
            "postal_code": "523409309",
            "telephone_number": "319-359-7047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2431 CORAL CT STE 4",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522412838",
            "telephone_number": "319-359-7047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORALVILLE COUNSELING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-29",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-29",
        "status": "A",
        "authorized_official_last_name": "SALM",
        "authorized_official_first_name": "BOBBY",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "319-330-7227",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LISW, LICW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mattison Cook
• Stephanie E Cooper, DDS
• Coral West Dental P.C.
• Coral West PC
• Coralville Counseling Center LLC
• Coralville Eye Associates, Inc
• Coralville Healthcare Clinic, Inc.
• Cornerstone Caregiving East LLC
• Corridor Chiropractic of Iowa PLC
• Corridor Ketamine LLC

• Clinical Social Worker in Coralville, IA
• Providers in Coralville, IA by specialty
• Clinical Social Worker in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2022; 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.