Healthcare Provider Details

I. General information

NPI: 1134696255
Provider Name (Legal Business Name): CALEB J HESS LMHC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/26/2018
Last Update Date: 08/22/2024
Certification Date: 08/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3301 CEDAR HEIGHTS DR
CEDAR FALLS IA
50613-6041
US

IV. Provider business mailing address

3520 MCCLAIN DR
CEDAR FALLS IA
50613-5720
US

V. Phone/Fax

Practice location:
  • Phone: 319-214-5063
  • Fax:
Mailing address:
  • Phone: 319-504-1778
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number092819
License Number StateIA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: