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JONATHAN BACKSTROM, LLC
NPI 1356932073
Counselor - Mental Health in Davenport, IA

Active since January 27, 2021
2625 W 36TH ST, DAVENPORT, IA 52806(563) 650-5863 Get Directions Write a Review

NPPES record last updated: January 27, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jonathan Backstrom, Llc NPPES

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

JONATHAN BACKSTROM, LLC (NPI 1356932073) is a healthcare organization registered as a mental health in Davenport, Iowa and active in the NPI registry since January 2021. The organization lists Jon Backstrom, Therapist, as its authorized official.

NPPES Registry Identity

NPI1356932073
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameJONATHAN BACKSTROM, LLC
Location Address2625 W 36TH STDavenport, IA 52806-5224
Mailing Address2625 W 36th StDavenport, IA 52806-5224 · (563) 650-5863
Phone(563) 650-5863
Organization SubpartNo
Authorized OfficialJon BackstromTherapist · (563) 650-5863
Enumeration DateJanuary 27, 2021
NPPES CertifiedJanuary 27, 2021
✔ NPI 1356932073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
2625 W 36TH ST, Davenport, IA 52806
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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

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 ›

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 Jonathan Backstrom, LLC's NPI number?

The NPI number for Jonathan Backstrom, LLC is 1356932073. It was assigned to this organization in the NPPES registry on January 27, 2021.

Where is Jonathan Backstrom, LLC located?

Jonathan Backstrom, LLC is located at 2625 W 36th St, Davenport, IA 52806. The listed phone number is (563) 650-5863.

What is Jonathan Backstrom, LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

What insurance does Jonathan Backstrom, LLC 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 list Jonathan Backstrom, LLC 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 Jonathan Backstrom, LLC was last updated on January 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.