Provider Demographics
NPI:1073752218
Name:COUNSELING ASSOCIATES OF CENTRAL IOWA PC
Entity Type:Organization
Organization Name:COUNSELING ASSOCIATES OF CENTRAL IOWA PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:CATHY
Authorized Official - Middle Name:
Authorized Official - Last Name:COCKAYNE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:515-255-2224
Mailing Address - Street 1:4401 WESTOWN PKWY STE 280
Mailing Address - Street 2:
Mailing Address - City:WEST DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50266-6776
Mailing Address - Country:US
Mailing Address - Phone:515-255-2224
Mailing Address - Fax:515-255-2228
Practice Address - Street 1:3900 INGERSOLL AVE
Practice Address - Street 2:SUITE 201
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50312-3551
Practice Address - Country:US
Practice Address - Phone:515-255-2224
Practice Address - Fax:515-255-2228
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-11
Last Update Date:2022-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1041C0700X, 1041C0700X
IA363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty