COURAGEOUS AIM LLC
NPI 1003538612
Social Worker - Clinical in Davenport, IA

Q: What is Courageous Aim LLC's NPI number?

The NPI number for Courageous Aim LLC is 1003538612. It was assigned to this organization in the NPPES registry on September 12, 2022.

Q: What is Courageous Aim LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Active since September 12, 2022

2805 EASTERN AVE STE D, DAVENPORT, IA 52803(563) 505-0141 Get Directions Write a Review

NPPES record last updated: September 28, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 28, 2022, Sep 12, 2022 (2 updates tracked since 2022).

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About Courageous Aim Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COURAGEOUS AIM LLC (NPI 1003538612) is a healthcare organization registered as a clinical in Davenport, Iowa and active in the NPI registry since September 2022. The organization lists Laura Marie Carothers, Owner/provider, as its authorized official.

NPPES Registry Identity

NPI1003538612

Entity TypeOrganization

Primary Taxonomy1041C0700X

Legal Business NameCOURAGEOUS AIM LLC

Location Address2805 EASTERN AVE STE DDavenport, IA 52803-2074

Mailing Address2805 Eastern Ave Ste DDavenport, IA 52803-2074 · (563) 505-0141

Phone(563) 505-0141

Organization SubpartNo

Authorized OfficialLaura Marie CarothersOwner/provider · (563) 505-0141

Enumeration DateSeptember 12, 2022

Last NPPES UpdateSeptember 28, 20222 updates tracked since enumeration

NPPES CertifiedSeptember 28, 2022

✔ NPI 1003538612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

2805 EASTERN AVE STE D, Davenport, IA 52803

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Other Identifiers 1

Medicaid0074526IA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Courageous Aim Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Courageous Aim LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Laura Carothers, LISW

Clinical Social Worker

NPI 1497910608

2805 EASTERN AVE STE D
Davenport, IA 52803

(563) 505-0141

✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Courageous Aim LLC's NPI number?

The NPI number for Courageous Aim LLC is 1003538612. It was assigned to this organization in the NPPES registry on September 12, 2022.

Where is Courageous Aim LLC located?

Courageous Aim LLC is located at 2805 Eastern Ave Ste D, Davenport, IA 52803. The listed phone number is (563) 505-0141.

What is Courageous Aim LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Courageous Aim LLC enrolled in Medicare?

Yes. Courageous Aim LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Courageous Aim LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Courageous Aim LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Courageous Aim LLC was last updated on September 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.