NPI 1609427079 · live from the CMS NPI Registry
Paxton Doman, tLMHC
Counselor, Mental Health in Cedar Rapids, IA. National Provider Identifier 1609427079, active.
NPI record
| NPI | 1609427079 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Counselor, Mental Health 101YM0800X |
| Practice location | 5400 Kirkwood Blvd Sw, Cedar Rapids, IA 52404 |
| Practice phone | 319-364-0259 |
| Mailing address | 1555 Se Delaware Ave Ste O, Ankeny, IA 50021 |
| Enumerated | September 26, 2019 |
| Last updated | March 28, 2024 |
| Sole proprietor | Yes |
| Other names | Paxton Sudbeck |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Mental Health primary | 101YM0800X | 123362 (IA) |
| Behavior Analyst | 103K00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.