CLINTON KEITH CUNNINGHAM
NPI 1215410741
Marriage & Family Therapist in Pella, IA

Q: What is Clinton Cunningham's NPI number?

The NPI number for Clinton Cunningham is 1215410741. It was assigned to this individual provider in the NPPES registry on September 11, 2018.

Q: What is Clinton Cunningham's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Active since September 11, 2018PECOS Enrolled

405 MONROE ST, PELLA, IA 50219(641) 621-2200(641) 621-2335 Get Directions Write a Review

NPPES record last updated: October 13, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 13, 2024, Aug 31, 2022, Feb 4, 2021 and 1 more (4 updates tracked since 2018).

On this page

About Clinton Keith Cunningham NPPES

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

CLINTON KEITH CUNNINGHAM (NPI 1215410741) is an individual marriage & family therapist in Pella, Iowa, licensed in Iowa (087027) and active in the NPI registry since September 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1215410741

Entity TypeIndividualMale

Primary Taxonomy106H00000X

Provider Legal NameCLINTON KEITH CUNNINGHAM

Location Address405 MONROE STPella, IA 50219-1290

Mailing Address405 Monroe StPella, IA 50219-1290 · (641) 621-2200 · Fax (641) 621-2335

Phone(641) 621-2200

Fax(641) 621-2335

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateSeptember 11, 2018

Last NPPES UpdateOctober 13, 20244 updates tracked since enumeration

NPPES CertifiedOctober 13, 2024

✔ NPI 1215410741 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in IA · 087027

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

405 MONROE ST, Pella, IA 50219

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Other Identifiers 5

Other1215410741IA · Npi #

OtherLMFT-16160AZ · Other

MedicaidLMFT-16160AZ

Other007829IA · Iowa License

Other087027IA · Iowa License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Clinton Keith Cunningham is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4183061583

PECOS Enrollment IDI20240321000120

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Clinton Cunningham reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pella Regional Health Center

0.1 mi

Critical Access

404 JEFFERSON ST
Pella, IA 50219

Reassigned Medicare billing, Iowa enrollment
117 clinicians in this Medicare group

NPI 1578520888 (641) 628-3150

Qv Urgent Care Ia, PLLC

21 mi

Rural Health

1817 1ST AVE E
Newton, IA 50208

Reassigned Medicare billing, Iowa enrollment
72 clinicians in this Medicare group

NPI 1265158950 (641) 658-9008

Ankeny Family Counseling

42 mi

Mental Health

1850 SW PLAZA SHOPS LN STE D
Ankeny, IA 50023

Reassigned Medicare billing, Iowa enrollment
8 clinicians in this Medicare group

NPI 1053804617 (515) 508-1150

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

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.

CENTRAL IOWA PODIATRY INC

Podiatrist

405 MONROE ST
PELLA, IA 50219

Marion County (641) 628-3542

CLAIRE MARIE GROTH

Dietitian, Registered

405 MONROE ST
PELLA, IA 50219

Marion County (641) 621-2325

ALLISON DOP PHARM D

Pharmacist

405 MONROE ST
PELLA, IA 50219

Marion County (641) 621-2444

DR. TEREASA L. VAN ZEE DO

Family Medicine

405 MONROE ST
PELLA, IA 50219

Marion County (641) 621-2200

MADISON PAIGE STALEY

Physician Assistant

405 MONROE ST
PELLA, IA 50219

Marion County (641) 621-2200

PELLA REGIONAL HEALTH CENTER

Clinic/Center (Multi-Specialty)

405 MONROE ST
PELLA, IA 50219

Marion County (641) 628-3832

ELIZABETH AUDREY VERMEER

Physical Therapist

405 MONROE ST
PELLA, IA 50219

Marion County (641) 628-3832

DR. ROBERT SCOT DYKSTRA DO

Family Medicine

405 MONROE ST
PELLA, IA 50219

Marion County (641) 621-2200

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 Clinton Cunningham's NPI number?

The NPI number for Clinton Cunningham is 1215410741. It was assigned to this individual provider in the NPPES registry on September 11, 2018.

Where is Clinton Cunningham located?

Clinton Cunningham practices at 405 Monroe St, Pella, IA 50219. The listed phone number is (641) 621-2200.

What is Clinton Cunningham's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Clinton Cunningham enrolled in Medicare?

Yes. Clinton Cunningham is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Clinton Cunningham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Clinton Cunningham reassigns Medicare benefits to 3 organizations: Pella Regional Health Center (Pella, IA), Qv Urgent Care Ia, PLLC (Newton, IA) and Ankeny Family Counseling (Ankeny, IA). Each 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 Clinton Cunningham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Clinton Cunningham accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and Anthem Blue Cross and Blue Shield and 7 other insurers list Clinton Cunningham as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Clinton Cunningham was last updated on October 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.