Active NPI
Traci Biddle, T-LMHC
- Mental Health Counselor
- Cedar Rapids, IA
National Provider Identifier
1992339287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 098676
- Practice address
- 215 4TH Ave SE
Cedar Rapids, IA 52401-1844 - Phone
- (319) 364-1953
- Fax
- (866) 496-4073
- NPI assigned
- Feb 26, 2020
- Last updated
- Nov 27, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 098676 | IA | Primary |
Addresses
Primary practice location
215 4TH Ave SE
Cedar Rapids, IA 52401-1844
Mailing address
215 4TH Ave SE
Cedar Rapids, IA 52401-1844
Phone (319) 364-1953
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 26-4372219 | Other | IA | TAX ID |
| 600655541 | Medicaid | IN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | https://lifeconnections.kasa-solutions.com/index.php | Health Information Exchange (HIE) | Life Connection, L.C. |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 098676 | IA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1992339287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 4TH AVE SE",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "524011844",
"telephone_number": "319-364-1953",
"fax_number": "866-496-4073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 4TH AVE SE",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "524011844",
"telephone_number": "319-364-1953",
"fax_number": "866-496-4073"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIDDLE",
"first_name": "TRACI",
"credential": "T-LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-26",
"last_updated": "2023-11-27",
"certification_date": "2020-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IA",
"license": "098676",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "26-4372219",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "600655541",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "https://lifeconnections.kasa-solutions.com/index.php",
"affiliation": "Y",
"endpointDescription": "EHR System - Kasa Practice Solutions",
"affiliationName": "Life Connection, L.C.",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "215 4th Ave SE",
"city": "Cedar Rapids",
"state": "IA",
"country_code": "US",
"postal_code": "524011844",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.