| Life Connection, L.C. | |
|
1535 1st Ave Se Cedar Rapids IA 52402-5123 | |
| (563) 542-9349 | |
| (866) 496-4073 |
| Full Name | Life Connection, L.C. |
|---|---|
| Speciality | Early Intervention Provider Agency |
| Location | 1535 1st Ave Se, Cedar Rapids, Iowa |
| Authorized Official Name and Position | Alyssa C Hennings (CEO) |
| Authorized Official Contact | 5635429349 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Connection, L.C. 240 N Bluff Blvd Ste 206 Clinton IA 52732-7146 Ph: (319) 313-5510 | Life Connection, L.C. 1535 1st Ave Se Cedar Rapids IA 52402-5123 Ph: (563) 542-9349 |
| NPI Number | 1538300892 |
|---|---|
| Provider Enumeration Date | 03/17/2009 |
| Last Update Date | 08/12/2026 |
| Certification Date | 08/12/2026 |
| Medicare PECOS PAC ID | 2567881428 |
|---|---|
| Medicare Enrollment ID | O20200928001298 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538300892 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | 06248 (Iowa) | Secondary |
| 252Y00000X | Early Intervention Provider Agency | () | Primary |
| Provider Name | Erin Colleen Aude |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336693399 PECOS PAC ID: 0547689408 Enrollment ID: I20240120000389 |
| Provider Name | Alyssa Christine Hennings |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1285185736 PECOS PAC ID: 5193144053 Enrollment ID: I20240122002772 |
| Provider Name | Brandi Leigh Sohn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093327264 PECOS PAC ID: 7517319924 Enrollment ID: I20240122003438 |
| Provider Name | Courtney Paige Hickson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245823913 PECOS PAC ID: 4587017132 Enrollment ID: I20240130003074 |
| Provider Name | Teresa Ann White |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568193662 PECOS PAC ID: 1456798818 Enrollment ID: I20240320003085 |
| Provider Name | Shawna Jo Marin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306328034 PECOS PAC ID: 6709326200 Enrollment ID: I20240911002069 |
| Provider Name | Jada Mathison |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1154977387 PECOS PAC ID: 2668900572 Enrollment ID: I20250106002790 |
| Provider Name | Anita Giannaris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023386166 PECOS PAC ID: 0547698599 Enrollment ID: I20250501003085 |
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