CORRIDOR COUNSELING, PLLC (NPI# 1417478801) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417478801 |
| Entity Type | Organization |
| Organization Name | CORRIDOR COUNSELING, PLLC |
| Practice Address |
4403 1st Ave Se Cedar Rapids IA 52402-3200 |
| Mailing Address |
Po Box 1561 Cedar Rapids IA 52406-1561 |
| Practice Telephone | 3192700019 |
| Practice Fax Number | 3192947032 |
| Mailing Telephone | 3192700019 |
| Mailing Fax Number | 3192947032 |
| Enumeration Date | 2017-07-06 |
| Last Update Date | 2017-07-06 |
| Authorized Official Name | MR. JOHN RYAN LEEFERS (THERAPIST/OWNER & SOLE MEMBER) |
| Authorized Official Telephone | 3192700019 |
| Authorized Official Credential | LMFT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| N | 225XM0800X |
Occupational Therapist Specialization: Mental Health |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 106H00000X | Marriage & Family Therapist | 000435 | IA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 1154713964 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | CORRIDOR COUNSELING, PLLC | 2680 Hunters Ridge Rd., Marion, IA 52302 |
| Street Address |
4403 1ST AVE SE |
| City | CEDAR RAPIDS |
| State | IA |
| Zip Code | 52402-3200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881690667 | Christine Marie Sigwarth | Counselor | 4403 1st Ave Se, Ste 518, Cedar Rapids, IA 52402-3221 | 2005-06-25 |
| 1689043796 | Silvia Benitez | Counselor | 4403 1st Ave Se, Cedar Rapids, IA 52402-3200 | 2015-09-18 |
| 1477933182 | Andrea Jayne | Counselor | 4403 1st Ave Se, Suite 302, Cedar Rapids, IA 52402-3200 | 2015-06-08 |
| 1558741280 | Tracy Carstensen | Counselor | 4403 1st Ave Se, Suite 302, Cedar Rapids, IA 52402-3200 | 2015-06-08 |
| 1992197347 | Kenneth Winter | Counselor | 4403 1st Ave Se, Suite 307, Cedar Rapids, IA 52402-3200 | 2015-02-23 |
| 1104224583 | Ingrid Conway | Marriage & Family Therapist | 4403 1st Ave Se, Suite 307, Cedar Rapids, IA 52402-3200 | 2014-12-16 |
| 1578985826 | Laura Martin | Social Worker | 4403 1st Ave Se, Suite 307, Cedar Rapids, IA 52402-3200 | 2014-01-06 |
| 1245668771 | Vogel Counseling, LLC | Counselor | 4403 1st Ave Se, Suite 518, Cedar Rapids, IA 52402-3200 | 2013-10-18 |
| 1063848711 | Substance Abuse Services Center | Community/Behavioral Health | 4403 1st Ave Se, Suite 307, Cedar Rapids, IA 52402-3200 | 2013-09-25 |
| 1649426339 | Curtis Ray Strahan | Acupuncturist | 4403 1st Ave Se, Suite 102, Cedar Rapids, IA 52402-3200 | 2008-08-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639790520 | Sara Ann Rausch | Counselor | 1533 1 Ave Se, Cedar Rapids, IA 52402 | 2020-05-01 |
| 1558995589 | Jennifer Christine Hohneke | Nurse Practitioner | St. Luke's Transitional Care Center, 1420 Unitypoint Way, Cedar Rapids, IA 52402 | 2020-02-28 |
| 1073008314 | Benjamin Randall Groth | Optometrist | 576 Boyson Rd Ne Ste 104, Cedar Rapids, IA 52402 | 2018-06-28 |
| 1992228621 | Synona Culbertson | Counselor | 4403 1st Ave Ne, Suite L15, Cedar Rapids, IA 52402 | 2017-07-25 |
| 1083136410 | Compassion North America Home Health Services Corp | Hospice Care, Community Based | 1570 42nd Street Ne, Suite #2a, Cedar Rapids, IA 52402 | 2017-07-07 |
| 1861819732 | Arj Infusion Services, Inc. | Home Infusion | 1847 First Ave Se, Suite 100, Cedar Rapids, IA 52402 | 2014-03-27 |
| 1639475197 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 4444 1st Ave Ne Ste 575, Cedar Rapids, IA 52402 | 2011-02-01 |
| 1437452919 | Empowering Families Inc | Early Intervention Provider Agency | 5005 Blairsforest Way, Cedar Rapids, IA 52402 | 2010-12-06 |
| 1184937476 | Jennifer Becker | Counselor | 3745 Center Point Rd Ne Ste A, Cedar Rapids, IA 52402 | 2010-07-15 |
| 1215179817 | William H Fletcher | Hearing Instrument Specialist | 3741 Center Point Rd Ne, Cedar Rapids, IA 52402 | 2009-03-27 |
| Find all providers in zip 52402 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750998043 | Deborah Koons-beauchamp | Marriage & Family Therapist | 229 Johnson Ave Nw, Cedar Rapids, IA 52405-4851 | 2020-09-30 |
| 1538774484 | Marshall Mcelhinney | Marriage & Family Therapist | 1120 2nd Ave Se, Cedar Rapids, IA 52403-2406 | 2020-09-08 |
| 1669084463 | Kiley Remington Putnam | Marriage & Family Therapist | 118 3rd Ave Se Ste 311, Cedar Rapids, IA 52401-1408 | 2020-08-21 |
| 1326688516 | Sejal Patel | Marriage & Family Therapist | 819 5th Street, Cedar Rapids, IA 52401 | 2020-01-15 |
| 1457819153 | Colleen Elizabeth Quaid | Marriage & Family Therapist | 4403 1st Ave Se Ste 510, Cedar Rapids, IA 52402-3222 | 2019-03-12 |
| 1457858789 | Lynn Ansel Conner | Marriage & Family Therapist | 5300 N Park Pl Ne, Cedar Rapids, IA 52402-6234 | 2018-04-12 |
| 1457878365 | Brandon Earl Wall | Marriage & Family Therapist | 5300 N Park Pl Ne Ste 115, Cedar Rapids, IA 52402-6220 | 2017-08-23 |
| 1700300316 | Trisha Ann Maulson Dean | Marriage & Family Therapist | 3015 12th Ave Sw, Cedar Rapids, IA 52404-1413 | 2017-07-26 |
| 1740655604 | Elizabeth Finley | Marriage & Family Therapist | 118 3rd Ave Se Ste 326, Cedar Rapids, IA 52401-1413 | 2015-12-03 |
| 1992188676 | Jennifer Gage | Marriage & Family Therapist | 3047 Center Point Rd Ne Ste B, Cedar Rapids, IA 52402-4064 | 2015-06-30 |
| Find all providers in CEDAR RAPIDS | ||||
| City | CEDAR RAPIDS |
| Zip Code | 52402 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.