PULLEN AND PULLEN (NPI# 1457635583) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1457635583 |
Entity Type | Organization |
Organization Name | PULLEN AND PULLEN |
Practice Address |
1762 Johnson Ave Fort Dodge IA 50501-8408 |
Practice Telephone | 5154086218 |
Mailing Telephone | 5154086218 |
Enumeration Date | 2011-10-07 |
Last Update Date | 2011-10-07 |
Authorized Official Name | JEREMY PULLEN (DIRECTOR) |
Authorized Official Telephone | 5154086218 |
Authorized Official Credential | LMHC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101YM0800X |
Counselor Specialization: Mental Health |
001209 | IA | Behavioral Health & Social Service Providers |
Y | 101YM0800X |
Counselor Specialization: Mental Health |
001322 | IA | Behavioral Health & Social Service Providers |
Street Address |
1762 JOHNSON AVE |
City | FORT DODGE |
State | IA |
Zip Code | 50501-8408 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104973148 | Rabiner Treatment Center | Residential Treatment Facility, Emotionally Disturbed Children | 1762 Johnson Ave, Fort Dodge, IA 50501-8408 | 2007-01-04 |
1871910588 | North Central Iowa Mental Health Center, Inc | Clinic/Center | 1762 Johnson Ave, Fort Dodge, IA 50501-8408 | 2014-03-20 |
1528342649 | Jeremy Pullen | Counselor | 1762 Johnson Ave, Fort Dodge, IA 50501-8408 | 2011-10-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023523412 | Katelin Judith Hartmann | Nurse Practitioner | 2913 5th Ave S, Fort Dodge, IA 50501 | 2017-12-06 |
1619338365 | John Clay Dds, Plc | Dentist | 1905 North 15th Street, Fort Dodge, IA 50501 | 2016-03-09 |
1710350517 | Alexandria Doyle | Nurse Practitioner | 800 Kenyon Road, Fort Dodge, IA 50501 | 2015-11-03 |
1366859993 | Heather Maureen Stillman Anderson | Dentist | 126 North 10th Street, Fort Dodge, IA 50501 | 2014-07-15 |
1205261575 | Iowa Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2029 5th Ave. South, Fort Dodge, IA 50501 | 2013-09-05 |
1952693020 | Riley Armstrong Plg & Htg, Inc | Contractor | 11 No. 20th St, Fort Dodge, IA 50501 | 2011-05-09 |
1407001639 | Marta Karyn Kramer | Pharmacist | 1428 2nd Ave No., Fort Dodge, IA 50501 | 2008-12-02 |
1427251305 | Andrew Bryant Sonksen | Dentist | 1716 1st Ave South, Fort Dodge, IA 50501 | 2007-06-07 |
1720127475 | John H Garton | Dentist | 1210 3rd Avenue South, Fort Dodge, IA 50501 | 2007-02-06 |
1912043746 | Aaron Mobley | Chiropractor | 1234 Central Ave, Fort Dodge, IA 50501 | 2007-01-29 |
Find all providers in zip 50501 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376153106 | Integrative Counseling Practices | Counselor | 1728 Central Ave Ste 10, Fort Dodge, IA 50501-4200 | 2020-08-06 |
1386299683 | Kathyria Guillen | Counselor | 5 N 27th St, Fort Dodge, IA 50501-4305 | 2019-08-05 |
1538544309 | Angela Marie Crosby | Counselor | 2123 10th Ave S, Fort Dodge, IA 50501-5902 | 2015-07-22 |
1801277579 | Angela Vitzthum | Counselor | 200 Avenue O, Fort Dodge, IA 50501-5728 | 2015-06-17 |
1558630590 | Katie Ann Deal | Counselor | 1126 Cooper Dr, Fort Dodge, IA 50501-2150 | 2011-12-20 |
1407967524 | Courtney Frerichs | Counselor | 409 Kenyon Rd Ste C, Fort Dodge, IA 50501-5718 | 2006-08-31 |
1881651263 | Karen Kay Gotto | Counselor | 409 Kenyon Rd, Suite C, Fort Dodge, IA 50501-5718 | 2006-04-28 |
1699392597 | Kelli A Reuter | Counselor | 720 Kenyon Rd, Fort Dodge, IA 50501-5759 | 2020-06-26 |
1447810791 | Amber Lawrence | Counselor | 720 Kenyon Rd, Fort Dodge, IA 50501-5759 | 2019-06-18 |
1447724794 | Matthew Manz | Counselor | 728 1st Ave N, Fort Dodge, IA 50501-0466 | 2019-01-18 |
Find all providers in FORT DODGE |
City | FORT DODGE |
Zip Code | 50501 |
Please comment or provide details below to improve the information on PULLEN AND PULLEN.
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.