MRS. GENEVIEVE A BALAJADIA (NPI# 1073079679) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1073079679 |
Entity Type | Individual |
Full Name | MRS. GENEVIEVE A BALAJADIA |
Credential | MA, T-CADC |
Practice Address |
799 Main St Ste 110 Dubuque IA 52001-6825 |
Practice Telephone | 5635823784 |
Practice Fax Number | 5635824006 |
Mailing Telephone | 5635823784 |
Mailing Fax Number | 5635824006 |
Enumeration Date | 2019-02-19 |
Last Update Date | 2019-02-19 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
T18043 | IA | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IA | 2580 | 05 |
Street Address |
799 MAIN ST STE 110 |
City | DUBUQUE |
State | IA |
Zip Code | 52001-6825 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316369671 | Erik Anderson | Counselor | 799 Main St Ste 110, Dubuque, IA 52001-6825 | 2014-01-06 |
1891310652 | De'shaun Madkins | Counselor | 799 Main St Ste 110, Dubuque, IA 52001-6825 | 2020-06-08 |
1992282644 | Nicole Hoerschelman | Counselor | 799 Main St Ste 110, Dubuque, IA 52001-6825 | 2018-07-25 |
1417475674 | Nathaniel Hargrove | Counselor | 799 Main St Ste 110, Dubuque, IA 52001-6825 | 2017-09-07 |
1235503541 | Alisha Tigges | Counselor | 799 Main St Ste 110, Dubuque, IA 52001-6825 | 2015-11-24 |
1588086839 | Mandy Reisner | Counselor | 799 Main St Ste 110, Dubuque, IA 52001-6825 | 2014-01-06 |
1023430394 | Matthew David Leifker | Counselor | 799 Main St Ste 110, Dubuque, IA 52001-6825 | 2014-01-06 |
1346662616 | Connie Marie Sprimont | Counselor | 799 Main St Ste 110, Dubuque, IA 52001-6825 | 2014-01-06 |
1881016137 | Jon Decker | Counselor | 799 Main St Ste 110, Dubuque, IA 52001-6825 | 2014-01-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992291132 | Klauer Optometry PC | Optometrist | 1705 Delhi St Uppr Level, Dubuque, IA 52001 | 2018-07-10 |
1710496427 | Ryan Michael Chatfield | Counselor | 799 Main St. Suite 110, Dubuque, IA 52001 | 2017-09-26 |
1396274791 | Patricia Ochs | Social Worker | 200 Mercy Dr., Ste. 200, Dubuque, IA 52001 | 2017-06-08 |
1770025264 | Young Men's Christian Association of Dubuque, Iowa | Health Educator | 35 North Booth Street, Dubuque, IA 52001 | 2016-11-15 |
1912388786 | Benjamin N Baker | Nurse Anesthetist, Certified Registered | 1515 Delhi Street, Suite 300, Mississippi Valley Anesthesiology, Dubuque, IA 52001 | 2015-06-17 |
1437536752 | Lucas Stephen Flamich | Optometrist | 300 N Grandview Ave., Dubuque, IA 52001 | 2015-05-06 |
1386067635 | Mississippi Valley Anesthesiology | Anesthesiology | 350 Grandview Avenue, Dubuque, IA 52001 | 2014-01-22 |
1376815209 | Umeka Latasha Lewis | Adult Companion | 1308 1/2 Jackson St, Dubuque, IA 52001 | 2012-02-08 |
1861777450 | Kevin Joseph Natzke | Pharmacist | 250 Mercy Drvie, Mercy Family Pharmacy, Dubuque, IA 52001 | 2011-10-15 |
1316231012 | Radiation Oncology of Iowa, PC | Radiology | 350 North Grandview Avenue, Dubuque, IA 52001 | 2011-05-31 |
Find all providers in zip 52001 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326689530 | Rachel Anne Nauman | Counselor | 3023 Stellar Eagle Dr, Dubuque, IA 52001-8646 | 2019-09-30 |
1316369671 | Erik Anderson | Counselor | 799 Main St Ste 110, Dubuque, IA 52001-6825 | 2014-01-06 |
1336406222 | Debra Lynne Crabtree-runde | Counselor | 399 Main Street Nesler Centre, Suite 370, Dubuque, IA 52001-6825 | 2012-04-16 |
1891310652 | De'shaun Madkins | Counselor | 799 Main St Ste 110, Dubuque, IA 52001-6825 | 2020-06-08 |
1992282644 | Nicole Hoerschelman | Counselor | 799 Main St Ste 110, Dubuque, IA 52001-6825 | 2018-07-25 |
1417475674 | Nathaniel Hargrove | Counselor | 799 Main St Ste 110, Dubuque, IA 52001-6825 | 2017-09-07 |
1831625979 | Tina Lynn Rice | Counselor | 799 Main St, Suite 110, Dubuque, IA 52001-6844 | 2017-05-11 |
1821521881 | Miranda Ashley Cratton | Counselor | 799 Main St, Ste 110, Dubuque, IA 52001-6844 | 2017-04-06 |
1720432685 | Robert Lindner | Counselor | 799 Main St, Suite 110, Dubuque, IA 52001-6844 | 2016-04-18 |
1235503541 | Alisha Tigges | Counselor | 799 Main St Ste 110, Dubuque, IA 52001-6825 | 2015-11-24 |
Find all providers in DUBUQUE |
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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.