Provider Demographics
NPI:1134763402
Name:NOEMA COUNSELING, LLC
Entity type:Organization
Organization Name:NOEMA COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOTHERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:JOHANNA
Authorized Official - Middle Name:RUTH
Authorized Official - Last Name:HARPER
Authorized Official - Suffix:
Authorized Official - Credentials:LISW
Authorized Official - Phone:319-202-4687
Mailing Address - Street 1:222 EDGEWOOD RD NW STE 203E
Mailing Address - Street 2:
Mailing Address - City:CEDAR RAPIDS
Mailing Address - State:IA
Mailing Address - Zip Code:52405-4472
Mailing Address - Country:US
Mailing Address - Phone:319-202-4687
Mailing Address - Fax:563-594-5265
Practice Address - Street 1:222 EDGEWOOD RD NW STE 203E
Practice Address - Street 2:
Practice Address - City:CEDAR RAPIDS
Practice Address - State:IA
Practice Address - Zip Code:52405-4472
Practice Address - Country:US
Practice Address - Phone:319-202-4687
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-30
Last Update Date:2020-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0707669Medicaid