COUNSELING AND THERAPY ASSOCIATES,LLC (NPI# 1346395027) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346395027 |
| Entity Type | Organization |
| Organization Name | COUNSELING AND THERAPY ASSOCIATES,LLC |
| Practice Address |
3120 Kimball Ave Suite B & C Waterloo IA 50702-5272 |
| Practice Telephone | 3192367701 |
| Practice Fax Number | 3192263263 |
| Mailing Telephone | 3192367701 |
| Mailing Fax Number | 3192263263 |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. TRACY SCHULZ (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3192367701 |
| Authorized Official Credential | LISW |
| 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 | 0177394 | 05 |
| Street Address |
3120 KIMBALL AVE SUITE B & C |
| City | WATERLOO |
| State | IA |
| Zip Code | 50702-5272 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619147261 | David Keith Whittemore | Dentist | 3120 Kimball Ave, Waterloo, IA 50702-5272 | 2008-03-10 |
| 1972627362 | Keith J. Whittemore | Dentist | 3120 Kimball Ave, Waterloo, IA 50702-5272 | 2007-03-19 |
| 1306987789 | Keith J Whittemore | Dentist | 3120 Kimball Ave, Waterloo, IA 50702-5272 | 2007-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629684709 | Peoples Community Health Clinic, Inc | Clinic/Center | 425 1/2 East Ridgeway Ave., Waterloo, IA 50702 | 2020-09-23 |
| 1346867439 | Kinza Ali | Family Medicine | 2055 Kimball Avenue, Suite 101, Waterloo, IA 50702 | 2020-07-06 |
| 1073176533 | Sandeep Badyal | Family Medicine | Ne Ia Family Medicine Residency Program, 2055 Kimball Ave. Ste. 101, Waterloo, IA 50702 | 2019-04-19 |
| 1619530763 | Sophia Tariq Qureshi | Family Medicine | Ne Ia Medical Education Foundation, 2055 Kimball Ave. Ste. 101, Waterloo, IA 50702 | 2019-04-15 |
| 1659869915 | Alicia M Johnson | Advanced Practice Midwife | 439 King Street, Waterloo, IA 50702 | 2018-04-23 |
| 1427591411 | Alexandra E. Becker | Specialist/Technologist | 4157 Mourning Dove Drive, Waterloo, IA 50702 | 2016-11-23 |
| 1255793196 | Eastern Iowa Therapeutics PC | Physical Therapist | 1655 E San Marnan Dr, Ste A, Waterloo, IA 50702 | 2016-03-21 |
| 1972859288 | Noble Cedar Psychological Institute | Psychologist | 1425 W. 5th Street, Suite 1, Waterloo, IA 50702 | 2012-07-24 |
| 1417223363 | Rita Marie Menart | Counselor | 2101 Kimball Ave., Suite 138, Waterloo, IA 50702 | 2012-03-26 |
| 1336411685 | Jagpal Singh Suman | Hospitalist | 3421 West 9th Street, Waterloo, IA 50702 | 2012-02-02 |
| Find all providers in zip 50702 | ||||
| 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 |
|---|---|---|---|---|
| 1538794110 | Mindful Connections, LLC | Community/Behavioral Health | 3731 Pheasant Ln # 203, Waterloo, IA 50701-5215 | 2020-03-04 |
| 1932633609 | Access Evaluation and Education Services, L.L.C. | Community/Behavioral Health | 1903 W Ridgeway Ave, Waterloo, IA 50701-4547 | 2017-04-19 |
| 1114395258 | Hope Tree Counseling Services Inc. | Community/Behavioral Health | 1420 W Donald St, Waterloo, IA 50703-1624 | 2015-09-07 |
| 1023484383 | New Start Behavioral Services | Community/Behavioral Health | 212 E 4th Street, Waterloo, IA 50703-2328 | 2015-08-20 |
| 1538500566 | Healing Harvest Ministries, Inc. | Community/Behavioral Health | 669 S Hackett Rd, Waterloo, IA 50701-5632 | 2013-07-06 |
| 1366782427 | Change Behavioral Health | Community/Behavioral Health | 2315 Falls Ave Ste 1, Waterloo, IA 50701-5736 | 2013-02-26 |
| 1780977959 | Bakari Behavioral Health Inc. | Community/Behavioral Health | 515 Beech St, Waterloo, IA 50703-3317 | 2011-05-22 |
| 1093006017 | Change Behavioral Health, Inc | Community/Behavioral Health | 501 Sycamore St Ste 623, Waterloo, IA 50703-4651 | 2011-04-25 |
| 1225346893 | 1st Steps To Success | Community/Behavioral Health | 209 Candlewick Rd, Waterloo, IA 50703-1303 | 2010-09-16 |
| 1760548440 | Goodwill Industries of Ne Iowa Inc | Community/Behavioral Health | 2640 Falls Ave, Waterloo, IA 50701-5722 | 2006-12-28 |
| Find all providers in WATERLOO | ||||
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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.