GRACE C MAE ADVOCATE CENTER, INC (NPI# 1700018405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700018405 |
| Entity Type | Organization |
| Organization Name | GRACE C MAE ADVOCATE CENTER, INC |
| Practice Address |
3113 1st Ave Sw Cedar Rapids IA 52405-4524 |
| Mailing Address |
202 7th Street Po Box 4 Van Horne IA 52346-0004 |
| Practice Telephone | 3193616529 |
| Practice Fax Number | 3192288776 |
| Mailing Telephone | 3193616529 |
| Mailing Fax Number | 3192288776 |
| Enumeration Date | 2009-08-13 |
| Last Update Date | 2010-07-15 |
| Authorized Official Name | DR. PATRICIA CAROLYN GILBAUGH (EXECUTIVE DIRECTOR & LEAD THERAPIST) |
| Authorized Official Telephone | 3193616529 |
| Authorized Official Credential | PH.D., LISW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251V00000X | Voluntary or Charitable | Agencies | ||
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 600613389 | 05 |
| Street Address |
3113 1ST AVE SW |
| City | CEDAR RAPIDS |
| State | IA |
| Zip Code | 52405-4524 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992157242 | Megan Conrad | Counselor | 3113 1st Ave Sw, Cedar Rapids, IA 52405-4524 | 2016-07-11 |
| 1083012066 | Holly Johnson | Counselor | 3113 1st Ave Sw, Cedar Rapids, IA 52405-4524 | 2014-12-08 |
| 1437559754 | Rosejean Beiser | Counselor | 3113 1st Ave Sw, Cedar Rapids, IA 52405-4524 | 2014-08-25 |
| 1023443959 | Lavern Dennis Smedley | Counselor | 3113 1st Ave Sw, Cedar Rapids, IA 52405-4524 | 2013-09-11 |
| 1851725592 | Grace C Mae Advocate Center | Counselor | 3113 1st Ave Sw, Cedar Rapids, IA 52405-4524 | 2013-08-29 |
| 1952741258 | Michelle Lynn Hansen | Social Worker | 3113 1st Ave Sw, Cedar Rapids, IA 52405-4524 | 2013-07-01 |
| 1215220223 | Victoria Marie Wieben | Social Worker | 3113 1st Ave Sw, Cedar Rapids, IA 52405-4524 | 2011-05-24 |
| 1164715256 | Kyle A Votroubek | Social Worker | 3113 1st Ave Sw, Cedar Rapids, IA 52405-4524 | 2011-05-23 |
| 1467755215 | Alisha Diane Smith | Social Worker | 3113 1st Ave Sw, Cedar Rapids, IA 52405-4524 | 2010-12-17 |
| 1811205792 | Angela Wilson | Social Worker | 3113 1st Ave Sw, Cedar Rapids, IA 52405-4524 | 2010-09-14 |
| 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 |
| 1043678717 | Nancy Muir | Social Worker | 520 11th St Nw, Abbe Center for Community Mental Health, Cedar Rapids, IA 52405 | 2016-02-09 |
| 1215257019 | Katie Moon | Counselor | 520 11th St Nw, Abbe Center Community Mental Health, Cedar Rapids, IA 52405 | 2010-06-03 |
| Find all providers in zip 52405 | ||||
| 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 |
|---|---|---|---|---|
| 1376168799 | Melissa Genreau Lmhc Pllc | Community/Behavioral Health | 373 Collins Rd Ne Ste 200, Cedar Rapids, IA 52402-3167 | 2020-06-11 |
| 1629252218 | All Ages Care Services, LLC | Community/Behavioral Health | 3330 Southgate Ct Sw Ste 205, Cedar Rapids, IA 52404-5416 | 2007-12-19 |
| 1871790766 | Tailored Living | Community/Behavioral Health | 1311 A Ave Nw, Cedar Rapids, IA 52405-4831 | 2007-07-02 |
| 1710046255 | Four Oaks Family & Children Services | Community/Behavioral Health | 5400 Kirkwood Blvd Sw, Cedar Rapids, IA 52404 | 2006-12-08 |
| 1669027728 | Dennis Lagrange, Lisw, Cadc | Community/Behavioral Health | 100 3rd Ave Sw, Cedar Rapids, IA 52404-5715 | 2019-08-06 |
| 1417493537 | Four Oaks Family and Children's Services | Community/Behavioral Health | 5400 Kirkwood Blvd Sw, Cedar Rapids, IA 52404-5216 | 2017-01-12 |
| 1952757320 | Resources for Human Development | Community/Behavioral Health | 1146 Blairs Ferry Rd Ne, Ste 2, Cedar Rapids, IA 52402-1274 | 2016-05-04 |
| 1467819268 | Still Waters Recovery Counseling and Wellness | Community/Behavioral Health | 305 2nd Ave Se Ste 200, Cedar Rapids, IA 52401-1207 | 2016-01-25 |
| 1578963377 | Heart and Solutions | Community/Behavioral Health | 3100 E Ave Nw, Suite 102, Cedar Rapids, IA 52405-2962 | 2014-08-28 |
| 1053738179 | Melissa Wehr, Pllc | Community/Behavioral Health | 1221 Park Pl Ne, Suite G4, Cedar Rapids, IA 52402-2002 | 2014-03-26 |
| Find all providers in CEDAR RAPIDS | ||||
| City | CEDAR RAPIDS |
| Zip Code | 52405 |
Please comment or provide details below to improve the information on GRACE C MAE ADVOCATE CENTER, INC.
| 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.