AVALON CENTER (NPI# 1003969148) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003969148 |
| Entity Type | Organization |
| Organization Name | AVALON CENTER |
| Practice Address |
22 N Georgia Ave Suite #102 Mason City IA 50401-3435 |
| Practice Telephone | 6414220070 |
| Practice Fax Number | 6414220060 |
| Mailing Telephone | 6414220070 |
| Mailing Fax Number | 6414220060 |
| Enumeration Date | 2007-01-20 |
| Last Update Date | 2011-01-04 |
| Authorized Official Name | MRS. LEAH JEAN WEBER (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6414220070 |
| Authorized Official Credential | LBSW, CADC, MA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 1012138 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932348018 | Avalon Center | Counselor | 480 Highway 7, Eddy, TX 76524-2448 | 2009-02-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | AVALON CENTER | 3206 Ironbound Road Ste B-D, Williamsburg, VA 23188-2452 |
| Iowa Business Entities | AVALON CENTER | 22 N Georgia Ave Ste 102, Suite 102, Mason City, IA 50401 |
| System for Award Management (SAM) Entities | AVALON CENTER, INC. | 196 Tenth St, Crossville, TN 38555-4132 |
| New York State Corporations | AVALON CENTERS, INC. | 346 Harris Hill Road, Williamsville, Ny 14221 |
| Street Address |
22 N GEORGIA AVE SUITE #102 |
| City | MASON CITY |
| State | IA |
| Zip Code | 50401-3435 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396838355 | Lynda Diane Innes | Counselor | 22 N Georgia Ave, Suite 102, Mason City, IA 50401-3435 | 2006-10-02 |
| 1629513536 | Jenna Leigh Haglund | Social Worker | 22 N Georgia Ave, Ste 102, Mason City, IA 50401-3435 | 2017-01-01 |
| 1073895348 | Leah Jean Weber | Counselor | 22 N Georgia Ave, Suite 102, Mason City, IA 50401-3435 | 2011-09-13 |
| 1770739328 | Carol J. Hoffarth | Nurse Practitioner | 22 N Georgia Ave, Ste 310, Mason City, IA 50401-3435 | 2008-08-14 |
| 1851442909 | Elderbridge Agency On Aging | Case Management | 22 N Georgia Ave, Suite 216, Mason City, IA 50401-3435 | 2007-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912544123 | Handicap Village | Intermediate Care Facility, Mentally Retarded | 1140 Limestone St, Mason City, IA 50401 | 2019-12-06 |
| 1548829989 | Debra Lynn Perzynski | Counselor | 103 E State St Suite 301, Brick and Tile Building, Mason City, IA 50401 | 2019-06-10 |
| 1851858617 | Four Oaks Family and Children's Services | Psychiatric Residential Treatment Facility | 80 North Eisenhower Ave, Mason City, IA 50401 | 2019-02-27 |
| 1578055521 | Alex Jon Uhlenhopp | Optometrist | 422 S Pierce Ave Ste 1, Mason City, IA 50401 | 2018-06-05 |
| 1538672985 | Bonnie Jean Burnett | Hearing Instrument Specialist | 704 16th St. Ne, Mason City, IA 50401 | 2017-11-08 |
| 1639691009 | Jeremy Baker | Counselor | 320 N Eisenhower Avenue, Mason City, IA 50401 | 2017-07-07 |
| 1437689940 | Medi-dent, Inc. | Psychiatry & Neurology | 1050 15th St. S.w., Suite 2, Mason City, IA 50401 | 2017-06-18 |
| 1922485283 | Jamie Lynn Heard | Social Worker | 50 N. Eisenhower Ave., Mason City, IA 50401 | 2015-05-06 |
| 1558756999 | Tyler Borchardt | Specialist/Technologist | 640 South Indiana Avenue, Mason City, IA 50401 | 2015-04-02 |
| 1811339203 | Siddiq A. Khan | General Practice | 520 S. Pierce Ave. Suite 150, Mason City, IA 50401 | 2013-07-25 |
| Find all providers in zip 50401 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083760078 | Parents United of North Central Iowa, Inc | Community/Behavioral Health | 600 1st St Nw Ste 107, Mason City, IA 50401-2912 | 2007-01-25 |
| 1306185632 | Life Change Solutions, Inc. | Community/Behavioral Health | 103 E State St, Ste 301, Mason City, IA 50401-3300 | 2013-02-06 |
| 1962677088 | Behavorial Health Options Plc | Community/Behavioral Health | 1522 6th St Sw, Mason City, IA 50401-4820 | 2008-04-29 |
| 1578634143 | North Iowa Transition Center | Community/Behavioral Health | 408 1st St Nw, Mason City, IA 50401-3004 | 2006-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417031 | Symmetry Health, LLC | Community/Behavioral Health | 2104 Palmer Cir, Iowa City, IA 52240-5900 | 2020-11-05 |
| 1407462625 | Caring Hearts of West Central Iowa, LLC | Community/Behavioral Health | 702 San Salvador Ave, Carroll, IA 51401-1838 | 2020-09-22 |
| 1538787304 | Resourcefull Unlimited | Community/Behavioral Health | 1131 E 39th St, Davenport, IA 52807-1758 | 2020-07-08 |
| 1376168799 | Melissa Genreau Lmhc Pllc | Community/Behavioral Health | 373 Collins Rd Ne Ste 200, Cedar Rapids, IA 52402-3167 | 2020-06-11 |
| 1659991610 | Kivisto Counseling and Therapy LLC | Community/Behavioral Health | 2550 Middle Rd Ste 3, Bettendorf, IA 52722-3298 | 2020-04-20 |
| 1538794110 | Mindful Connections, LLC | Community/Behavioral Health | 3731 Pheasant Ln # 203, Waterloo, IA 50701-5215 | 2020-03-04 |
| 1982245403 | Unique Affinity Dynamics, LLC | Community/Behavioral Health | 200 W Cleveland St, Olin, IA 52320-9523 | 2019-10-06 |
| 1417507872 | Jason Smith Assessment and Counseling Associates | Community/Behavioral Health | 950 Office Park Rd Ste 235, West Des Moines, IA 50265-2121 | 2019-09-18 |
| 1750945135 | Basurto Behavioral Health, LLC | Community/Behavioral Health | 3316 Cedar Heights Dr Ste A, Cedar Falls, IA 50613-6083 | 2019-05-01 |
| 1730640830 | Hope Community Living of Iowa,inc. | Community/Behavioral Health | 3702 162nd St, Urbandale, IA 50323-2582 | 2019-03-29 |
| Find all providers with the same taxonomy | ||||
| City | MASON CITY |
| Zip Code | 50401 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.