BRENT ALLEN DOUGLAS (NPI# 1114232725) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114232725 |
| Entity Type | Individual |
| Full Name | BRENT ALLEN DOUGLAS |
| Credential | M.A., LMHC |
| Practice Address |
6390 Ne Rising Sun Dr Pleasant Hill IA 50327-2178 |
| Mailing Address |
3237 E Washington Ave Des Moines IA 50317-8654 |
| Practice Telephone | 5159539083 |
| Enumeration Date | 2010-08-09 |
| Last Update Date | 2013-03-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
001256 | IA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386194090 | Brent Wayne Douglas | Case Manager/Care Coordinator | 1844 Corrine Dr, Oklahoma City, OK 73111-6214 | 2016-10-05 |
| Street Address |
6390 NE RISING SUN DR |
| City | PLEASANT HILL |
| State | IA |
| Zip Code | 50327-2178 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154582039 | Cindy Sue Pommrehn | Counselor | 6390 Ne Rising Sun Dr, Pleasant Hill, IA 50327-2178 | 2008-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386172153 | Louis Wenger | Dentist | 5890 Morning Star Court, Pleasant Hill, IA 50327 | 2017-05-24 |
| 1154482982 | Southeast Polk Community School District | Local Education Agency (LEA) | 8379 Ne University Ave., Pleasant Hill, IA 50327 | 2006-12-13 |
| 1093810269 | Harold Robert Shelton | Chiropractor | 4800 Maple Dr, Pleasant Hill, IA 50327 | 2006-09-13 |
| 1578512778 | Eye Care of Iowa PC | Optometrist | 5075 E University Ave, Ste C, Pleasant Hill, IA 50327 | 2006-05-08 |
| 1528597457 | Aaron Jones | Dentist | 1286 Copper Creek Dr, Pleasant Hill, IA 50327 | 2017-06-05 |
| 1871049668 | Megan Hanson | Physician Assistant | 5900 E. University Avenue, Suite 100, Pleasant Hill, IA 50327 | 2016-08-31 |
| 1891148151 | Macy Dieleman | Optometrist | 5075 E University Ave, Pleasant Hill, IA 50327 | 2016-07-21 |
| 1184802258 | Somnicare, Inc. | Durable Medical Equipment & Medical Supplies | 1225 Copper Creek Dr, Ste G, Pleasant Hill, IA 50327 | 2008-01-31 |
| 1770129041 | Eric Smargiasso | Hearing Instrument Specialist | 4440 E University Ave, Pleasant Hill, IA 50327-1701 | 2019-11-21 |
| 1437369998 | Kristina Kay Naeve | Chiropractor | 4430 E University Ave, Pleasant Hill, IA 50327-1701 | 2007-05-23 |
| Find all providers in zip 50327 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659982643 | Alyssa Perry | Counselor | 905 Mossbridge Ct, Pleasant Hill, CA 94523-2468 | 2020-08-12 |
| 1699330589 | Evan Alexander Russell | Counselor | 2019 Norse Dr Apt 42, Pleasant Hill, CA 94523-1843 | 2019-05-06 |
| 1447636154 | Fred Finch Youth Center | Counselor | 181 Viking Dr, Pleasant Hill, CA 94523-1808 | 2015-08-04 |
| 1760822993 | Jessica Taylor Ysunza | Counselor | 267 Evelyn Drive, Pleasant Hill, CA 94523 | 2013-07-02 |
| 1831459841 | Kathryn Kahle Williams | Counselor | 6925 Redbud Ct, Pleasant Hill, IA 50327-8700 | 2012-05-23 |
| 1174751457 | Natasa Nordman | Counselor | 3478 Buskirk Ave., Suite 260, Pleasant Hill, CA 94523-5096 | 2009-06-25 |
| 1245485028 | Margarita Velasco | Counselor | 395 Taylor Bldv, Ste 200, Pleasant Hill, CA 94523 | 2008-11-20 |
| 1154582039 | Cindy Sue Pommrehn | Counselor | 6390 Ne Rising Sun Dr, Pleasant Hill, IA 50327-2178 | 2008-06-23 |
| 1538344650 | Kelly Elizabeth Opsal | Counselor | 18 Matisse Ct, Pleasant Hill, CA 94523-4234 | 2008-01-08 |
| 1528249695 | Linda Suzanne De Caccia | Counselor | 85600 Lattin Ln, Pleasant Hill, OR 97455-9736 | 2007-11-16 |
| Find all providers in PLEASANT HILL | ||||
| City | PLEASANT HILL |
| Zip Code | 50327 |
Please comment or provide details below to improve the information on BRENT ALLEN DOUGLAS.
| 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.