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

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: August 09, 2026.

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

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 Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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 FARRINGTON
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.

What insurance does Clinton Cunningham accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 5 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 22 months 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.