Healthcare Provider Details

I. General information

NPI: 1366177198
Provider Name (Legal Business Name): FTS COUNSELING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2022
Last Update Date: 03/15/2023
Certification Date: 03/15/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

215 FRANKLIN ST
CEDAR FALLS IA
50613-2746
US

IV. Provider business mailing address

215 FRANKLIN ST
CEDAR FALLS IA
50613-2746
US

V. Phone/Fax

Practice location:
  • Phone: 913-912-0334
  • Fax:
Mailing address:
  • Phone: 913-735-4077
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VII. Legacy identifiers

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

# 1
Identifier14650779
Identifier TypeOTHER
Identifier StateIA
Identifier IssuerCAQH

VIII. Authorized Official

Name: MORGAN KIDDER
Title or Position: OWNER
Credential: LISW
Phone: 913-912-0334