DALTYNN HASKINS (NPI# 1417496969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417496969 |
| Entity Type | Individual |
| Full Name | DALTYNN HASKINS |
| Other Name | DALTYNN BROCKMAN |
| Credential | LMHC, CADC |
| Practice Address |
515 E Broadway Council Bluffs IA 51503-4419 |
| Practice Telephone | 7123221407 |
| Enumeration Date | 2017-02-16 |
| Last Update Date | 2019-09-18 |
| 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) |
T16183 | IA | Behavioral Health & Social Service Providers |
| Street Address |
515 E BROADWAY |
| City | COUNCIL BLUFFS |
| State | IA |
| Zip Code | 51503-4419 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336131564 | Reva Dawn Evans | Counselor | 515 E Broadway, Council Bluffs, IA 51503-4419 | 2005-08-15 |
| 1801458815 | Aunna Strutzenberg | Counselor | 515 E Broadway, Council Bluffs, IA 51503-4419 | 2019-07-01 |
| 1689236515 | Kiel Hansen | Counselor | 515 E Broadway, Council Bluffs, IA 51503-4419 | 2019-07-01 |
| 1467011601 | Gabrielle Sutton | Social Worker | 515 E Broadway, Council Bluffs, IA 51503-4419 | 2019-06-11 |
| 1992272645 | Ashley Carpentier | Counselor | 515 E Broadway, Council Bluffs, IA 51503-4419 | 2018-10-31 |
| 1972085421 | Jennifer Knutson | Counselor | 515 E Broadway, Council Bluffs, IA 51503-4419 | 2018-08-31 |
| 1033695291 | Jamie Strickland | Social Worker | 515 E Broadway, Council Bluffs, IA 51503-4419 | 2018-07-11 |
| 1871009118 | Alyssa Bigelow | Counselor | 515 E Broadway, Council Bluffs, IA 51503-4419 | 2017-12-22 |
| 1669997474 | Santos Gonzales | Social Worker | 515 E Broadway, Council Bluffs, IA 51503-4419 | 2017-08-14 |
| 1144753724 | Amanda Vigen | Counselor | 515 E Broadway, Council Bluffs, IA 51503 | 2017-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326654377 | Michael Menendez | Counselor | N 6th Street and Ave E, Council Bluffs, IA 51503 | 2020-09-16 |
| 1417598301 | Katherine E Turner | Counselor | 2303 Butler Street, Council Bluffs, IA 51503 | 2019-10-02 |
| 1992354666 | Phs Council Bluffs, Inc | Skilled Nursing Facility | 16 Valley View Drive, Council Bluffs, IA 51503 | 2019-09-05 |
| 1629429451 | Nathan Charles Shumway | Podiatrist | 320 Mckenzie Ave Ste 102, Council Bluffs, IA 51503 | 2016-06-22 |
| 1699131797 | Bluffs Pain Management LLC | Pain Medicine | 201 Ridge St Suite 102, Council Bluffs, IA 51503 | 2016-01-06 |
| 1811246903 | Georgia Ann Boeck | Hearing Instrument Specialist | 900 Woodbury Avenue, Suite 8b, Council Bluffs, IA 51503 | 2012-09-05 |
| 1790055796 | Wendy Jane'e Zenor | Licensed Practical Nurse | 1525 Rolling Hills Loop, Council Bluffs, IA 51503 | 2012-01-06 |
| 1649579186 | Mohana K Loya | Internal Medicine | 933 E Pierce St., Council Bluffs, IA 51503 | 2011-03-23 |
| 1568761369 | Brenda Kay Sennett | Occupational Therapist | 1600 Mcpherson Avenue, Council Bluffs, IA 51503 | 2011-03-18 |
| 1710129671 | Heart Lung and Vascular Surgery PC | Specialist | 210 Ridge, Jennie Edmundsen Hospital, Council Bluffs, IA 51503 | 2009-03-24 |
| Find all providers in zip 51503 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720238371 | Heartland Family Service | Counselor | 1503 Avenue J, Council Bluffs, IA 51501-1170 | 2008-09-19 |
| 1689698995 | Dale Clifford Greedy | Counselor | 100 E Broadway Ste 200, Council Bluffs, IA 51503-4409 | 2006-07-27 |
| 1336131564 | Reva Dawn Evans | Counselor | 515 E Broadway, Council Bluffs, IA 51503-4419 | 2005-08-15 |
| 1669464897 | Carol Ann Logan-brummer | Counselor | 719 Mill Street, Council Bluffs, IA 51502-3008 | 2005-08-15 |
| 1851863716 | Mae Sondra Miller | Counselor | 300 W Broadway, Council Bluffs, IA 51503-9019 | 2018-12-17 |
| 1144753724 | Amanda Vigen | Counselor | 515 E Broadway, Council Bluffs, IA 51503 | 2017-04-10 |
| 1871044511 | Lindsay Henderson | Counselor | 515 E Broadway, Council Bluffs, IA 51503-4419 | 2016-10-18 |
| 1073913083 | The Inroads Foundation | Counselor | 933 E Pierce St, Council Bluffs, IA 51503 | 2014-08-27 |
| 1013287259 | Trisha Anderson | Counselor | 515 E Broadway, Council Bluffs, IA 51503-4419 | 2012-01-05 |
| 1447520705 | Andrew Frohardt | Counselor | 515 E Broadway, Council Bluffs, IA 51503-4419 | 2012-01-04 |
| Find all providers in COUNCIL BLUFFS | ||||
| City | COUNCIL BLUFFS |
| Zip Code | 51503 |
Please comment or provide details below to improve the information on DALTYNN HASKINS.
| 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.