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MARK GREGORY KINNAMAN CADC
NPI 1053637215
Counselor - Addiction (Substance Use Disorder) in Council Bluffs, IA

Active since April 13, 2010
933 E PIERCE ST, COUNCIL BLUFFS, IA 51503(712) 396-4387(712) 396-7708 Get Directions Write a Review

NPPES record last updated: April 13, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mark Gregory Kinnaman Cadc NPPES

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

MARK GREGORY KINNAMAN CADC (NPI 1053637215) is an individual addiction (substance use disorder) provider in Council Bluffs, Iowa and active in the NPI registry since April 2010.

NPPES Registry Identity

NPI1053637215
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMARK GREGORY KINNAMANCredential: CADC
Location Address933 E PIERCE STCouncil Bluffs, IA 51503-4626
Mailing Address933 E Pierce StCouncil Bluffs, IA 51503-4626 · (712) 396-4387 · Fax (712) 396-7708
Phone(712) 396-4387
Fax(712) 396-7708
Sole ProprietorYes
Enumeration DateApril 13, 2010
✔ NPI 1053637215 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
933 E PIERCE ST, Council Bluffs, IA 51503
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CAROL JEAN REEDER RD, LD
Dietitian, Registered
933 E PIERCE ST
COUNCIL BLUFFS, IA 51503
Pottawattamie County (712) 396-7212
MICHELLE RUDE APRN
Nurse Practitioner
933 E PIERCE ST
COUNCIL BLUFFS, IA 51503
Pottawattamie County (712) 396-4360
BRIAN LUEDKE RN
Nurse Practitioner
933 E PIERCE ST
COUNCIL BLUFFS, IA 51503
Pottawattamie County (712) 396-4360
THE INROADS FOUNDATION
Social Worker (Clinical)
933 E PIERCE ST
COUNCIL BLUFFS, IA 51503
Pottawattamie County (402) 932-2248
CLIFTON R. DAVIS M.D.
Hospitalist
933 E PIERCE ST
COUNCIL BLUFFS, IA 51503
Pottawattamie County (712) 396-4360
DR. PAUL C. MILERIS M.D.
Emergency Medicine
933 E PIERCE ST
COUNCIL BLUFFS, IA 51503
Pottawattamie County (712) 396-6111
INFECTIOUS DISEASE ASSOCIATES PC
Internal Medicine (Infectious Disease)
933 E PIERCE ST
COUNCIL BLUFFS, IA 51503
Pottawattamie County (712) 396-6000
MARCIA L. HOPKINS ARNP
Nurse Practitioner (Psychiatric/Mental Health)
933 E PIERCE ST
COUNCIL BLUFFS, IA 51503
Pottawattamie County (712) 396-6044

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 Mark Kinnaman's NPI number?

The NPI number for Mark Kinnaman is 1053637215. It was assigned to this individual provider in the NPPES registry on April 13, 2010.

Where is Mark Kinnaman located?

Mark Kinnaman practices at 933 E Pierce St, Council Bluffs, IA 51503. The listed phone number is (712) 396-4387.

What is Mark Kinnaman's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Mark Kinnaman was last updated on April 13, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.