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NPI Code Detail

MEDICARE: INSIGHT THERAPY GROUP PC

MEDICARE: INSIGHT THERAPY GROUP PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker
2363LP0808XPsychiatric/Mental Health Nurse Practitioner
3106H00000XMarriage & Family Therapist
4101YM0800XMental Health Counselor001285IA

General Provider Information

NPI Number : 1780188391
Entity Type Code : Organization
Provider Name (Legal Business Name) : INSIGHT THERAPY GROUP PC
Provider Business Mailing Address
First Line : 3412 CENTER POINT RD NE
Second Line :
City : CEDAR RAPIDS
State : IA
Zip : 52402-5575
Country : US
Telephone Number : 319-382-8660
Fax Number : 319-382-8693
Provider Business Practice Location Address
First Line : 3412 CENTER POINT RD NE
Second Line :
City : CEDAR RAPIDS
State : IA
Zip : 52402-5529
Country : US
Telephone Number : 319-382-8660
Fax Number : 319-382-8693
Authorized Official
Title or Position : OWNER, MANAGER
Name : JENNIFER BECKER
Credential : LMHC
Telephone Number : 319-382-8663
Provider Enumeration Date : 03/19/2018
Last Update Date : 03/10/2026

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