COLLEEN PRENDERGAST (NPI# 1205081940) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1205081940 |
Entity Type | Individual |
Full Name | COLLEEN PRENDERGAST |
Credential | LMHC |
Practice Address |
520 11th St Nw Cedar Rapids IA 52405-3811 |
Practice Telephone | 3193983562 |
Practice Fax Number | 3193983501 |
Mailing Telephone | 3193983562 |
Mailing Fax Number | 3193983501 |
Enumeration Date | 2008-11-21 |
Last Update Date | 2008-11-21 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
001082 | IA | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386189835 | Colleen Patricia Prendergast | Speech-Language Pathologist | 5275 State Route 31, Verona, NY 13478 | 2016-12-19 |
Street Address |
520 11TH ST NW |
City | CEDAR RAPIDS |
State | IA |
Zip Code | 52405-3811 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952389819 | Robert J Metzger IIi | Counselor | 520 11th St Nw, Cedar Rapids, IA 52405-3811 | 2006-01-02 |
1093327918 | Nicole L Moore | Social Worker | 520 11th St Nw, Cedar Rapids, IA 52405-3811 | 2020-08-21 |
1114543683 | Helen Neumann | Social Worker | 520 11th St Nw, Cedar Rapids, IA 52405-3811 | 2020-06-22 |
1619598869 | Katherine Shea | Nurse Practitioner | 520 11th St Nw, Cedar Rapids, IA 52405-3811 | 2020-04-29 |
1629617469 | Amy S Morin | Nurse Practitioner | 520 11th St Nw, Cedar Rapids, IA 52405-3811 | 2019-12-26 |
1881231785 | Megan Engen | Registered Nurse | 520 11th St Nw, Cedar Rapids, IA 52405-3811 | 2019-12-10 |
1912543497 | Stephanie Moore | Counselor | 520 11th St Nw, Cedar Rapids, IA 52405-3811 | 2019-11-20 |
1255991139 | Nicolette Nefzger | Marriage & Family Therapist | 520 11th St Nw, Cedar Rapids, IA 52405-3811 | 2019-06-13 |
1619460201 | Ikama Sasa | Nurse Practitioner | 520 11th St Nw, Cedar Rapids, IA 52405-3811 | 2018-06-08 |
1528555356 | Brittany Smelser | Physician Assistant | 520 11th St Nw, Cedar Rapids, IA 52405-3811 | 2018-04-17 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104316108 | Family Foot Care Clinic, PC | Podiatrist | 3200 F Avenue Nw, Cedar Rapids, IA 52405 | 2018-05-15 |
1497202923 | Mary Frances Schmidt-luhring | Counselor | 3100 E Ave Nw, Suite 105, Heart and Solutions, LLC, Cedar Rapids, IA 52405 | 2016-09-01 |
1013298116 | Daniel Hernandez | Non-emergency Medical Transport (VAN) | 408 Day St Northwest, Cedar Rapids, IA 52405 | 2011-09-01 |
1528374758 | Matthew Lorenzo Vasquez | Social Worker | 3113 1st Ave Nw, Cedar Rapid, IA 52405 | 2010-08-25 |
1770643470 | Douglas P Dvorak | Chiropractor | 1427 6th St Nw, Cedar Rapids, IA 52405 | 2006-12-11 |
1144396326 | West Ridge Associates Inc | Skilled Nursing Facility | 3131 F Ave Nw, Cedar Rapids, IA 52405 | 2006-11-28 |
1134120405 | Toni Neta | Social Worker | 3100 E Avenue Nw, Suite 101, Cedar Rapids, IA 52405 | 2005-08-09 |
1013918051 | Carol Ogea | Social Worker | 3100 E Ave Nw, Ste 101, Cedar Rapids, IA 52405 | 2005-08-01 |
1275617854 | Kristen Jean Wagaman | Nurse Practitioner | 75 Short St Nw, Cedar Rapids, IA 52405 | 2006-10-24 |
1225020092 | Karen Penick | Social Worker | 3100 E Ave Nw, Ste 101, Cedar Rapids, IA 52405 | 2005-08-18 |
Find all providers in zip 52405 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013523943 | Bryan Busch | Counselor | 1030 5th Ave Se # Ate3000, Cedar Rapids, IA 52403-2464 | 2020-09-16 |
1477179133 | James L Neubauer | Counselor | 3745 Center Point Rd Ne, Cedar Rapids, IA 52402-2926 | 2020-06-18 |
1366065062 | Thea Bedell, Lmhc, LLC | Counselor | 3412 Center Point Rd Ne, Cedar Rapids, IA 52402-5529 | 2020-05-28 |
1629609037 | Alyssa Anne Mcdowell | Counselor | 1073 Rockford Rd Sw Ste E, Cedar Rapids, IA 52404-1868 | 2020-02-04 |
1316589682 | Gail Wood | Counselor | 1660 42nd St Ne Ste O, Cedar Rapids, IA 52402-3066 | 2019-10-08 |
1154962991 | Tracy Adam | Counselor | 1221 Park Pl Ne Ste F, Cedar Rapids, IA 52402-2019 | 2019-10-02 |
1144883539 | Barbara Lynn Murphy | Counselor | 3635 Bever Ave Se, Cedar Rapids, IA 52403-4330 | 2019-04-21 |
1700358520 | Syndrea Porter | Counselor | 1146 Blairs Ferry Rd Ne Ste 2, Cedar Rapids, IA 52402-1274 | 2018-12-18 |
1144791153 | Shannon Elise Perea | Counselor | 215 4th Ave Se, Cedar Rapids, IA 52401-1844 | 2018-12-17 |
1902375801 | A New Leaf Mental Health & Wellness Center, Inc | Counselor | 5925 Council St Ne Ste 117, Cedar Rapids, IA 52402-5860 | 2018-11-20 |
Find all providers in CEDAR RAPIDS |
City | CEDAR RAPIDS |
Zip Code | 52405 |
Please comment or provide details below to improve the information on COLLEEN PRENDERGAST.
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.