COLLEEN PRENDERGAST


Address: 520 11th St Nw, Cedar Rapids, IA 52405-3811
Phone: 3193983562

COLLEEN PRENDERGAST (NPI# 1205081940) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
001082 IA Behavioral Health & Social Service Providers

Other Providers COLLEEN PRENDERGAST

NPI Name Taxonomy Address Enumeration
1386189835 Colleen Patricia Prendergast Speech-Language Pathologist 5275 State Route 31, Verona, NY 13478 2016-12-19

Office Location

Street Address 520 11TH ST NW
City CEDAR RAPIDS
State IA
Zip Code 52405-3811

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Competitor

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City CEDAR RAPIDS
Zip Code 52405

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Dataset Information

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.

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