BASURTO BEHAVIORAL HEALTH, LLC (NPI# 1750945135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1750945135 |
Entity Type | Organization |
Organization Name | BASURTO BEHAVIORAL HEALTH, LLC |
Practice Address |
3316 Cedar Heights Dr Ste A Cedar Falls IA 50613-6083 |
Practice Telephone | 3195044593 |
Practice Fax Number | 3192601212 |
Mailing Telephone | 3195044593 |
Mailing Fax Number | 3192601212 |
Enumeration Date | 2019-05-01 |
Last Update Date | 2019-05-01 |
Authorized Official Name | SHANTEL MARIE BASURTO (OWNER/CLINICIAN) |
Authorized Official Telephone | 3195044593 |
Authorized Official Credential | LISW |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251S00000X | Community/Behavioral Health | Agencies |
Address | Telephone Number | Fax Number |
---|---|---|
3316 Cedar Heights Dr Ste A, Cedar Falls, IA 506136083 | 3195044593 | 3192601212 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Iowa Business Entities | BASURTO BEHAVIORAL HEALTH, LLC | 3316 Cedar Heights Drive Suite A, Cedar Falls, IA 50613 |
Street Address |
3316 CEDAR HEIGHTS DR STE A |
City | CEDAR FALLS |
State | IA |
Zip Code | 50613-6083 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699315424 | Travis Ray Turner | Pharmacist | 6301 University Ave., A3 College Square Mall, Cedar Falls, IA 50613 | 2020-01-09 |
1770047078 | Jake Hanson | Chiropractor | 204 W Seerley Blvd, Cedar Falls, IA 50613 | 2019-01-31 |
1184192577 | Payton C Stock | Student in an Organized Health Care Education/Training Program | 2250 Hudson Rd, Hpc 003, Cedar Falls, IA 50613 | 2018-11-05 |
1326526641 | Transcend Mind-body Wellness & Floatation Clinic LLC | Nurse Practitioner | 409 Washington St Ste D, Cedar Falls, IA 50613 | 2018-07-30 |
1073000444 | Shannon Lee Lindeland | Nurse Practitioner | 5100 Prairie Pkwy Ste 300, Cedar Falls, IA 50613 | 2018-04-20 |
1598270126 | Eastern Iowa Therapeutics P.C. | Physical Therapist | 912 Viking Road, #101, Cedar Falls, IA 50613 | 2017-12-05 |
1366952368 | Holahan & Boe Orthodontics, Pllc | Dentist | 1013 Hudson Road, Cedar Falls, IA 50613 | 2017-10-04 |
1982134870 | Shanna Lynne Elliott | Physical Therapist | 912 Viking Rd Ste 101, Cedar Falls, IA 50613 | 2017-06-14 |
1124476767 | Michelle Henny | Social Worker | 2616 Orchard Dr Ste B, Cedar Falls, IA 50613 | 2016-05-24 |
1326417478 | Rebecca Lynn Gelhaus | Dietitian, Registered | 325 Alvarado Alvarado, Cedar Falls, IA 50613 | 2015-09-18 |
Find all providers in zip 50613 |
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 |
---|---|---|---|---|
1508302654 | Clarity Mental Wellness Center | Community/Behavioral Health | 2616 Orchard Dr Ste B, Cedar Falls, IA 50613-5812 | 2017-01-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003417031 | Symmetry Health, LLC | Community/Behavioral Health | 2104 Palmer Cir, Iowa City, IA 52240-5900 | 2020-11-05 |
1407462625 | Caring Hearts of West Central Iowa, LLC | Community/Behavioral Health | 702 San Salvador Ave, Carroll, IA 51401-1838 | 2020-09-22 |
1538787304 | Resourcefull Unlimited | Community/Behavioral Health | 1131 E 39th St, Davenport, IA 52807-1758 | 2020-07-08 |
1376168799 | Melissa Genreau Lmhc Pllc | Community/Behavioral Health | 373 Collins Rd Ne Ste 200, Cedar Rapids, IA 52402-3167 | 2020-06-11 |
1659991610 | Kivisto Counseling and Therapy LLC | Community/Behavioral Health | 2550 Middle Rd Ste 3, Bettendorf, IA 52722-3298 | 2020-04-20 |
1538794110 | Mindful Connections, LLC | Community/Behavioral Health | 3731 Pheasant Ln # 203, Waterloo, IA 50701-5215 | 2020-03-04 |
1982245403 | Unique Affinity Dynamics, LLC | Community/Behavioral Health | 200 W Cleveland St, Olin, IA 52320-9523 | 2019-10-06 |
1417507872 | Jason Smith Assessment and Counseling Associates | Community/Behavioral Health | 950 Office Park Rd Ste 235, West Des Moines, IA 50265-2121 | 2019-09-18 |
1730640830 | Hope Community Living of Iowa,inc. | Community/Behavioral Health | 3702 162nd St, Urbandale, IA 50323-2582 | 2019-03-29 |
1669952040 | Aspire Behavioral Health Services LLC | Community/Behavioral Health | 816 Davis Ave, Corning, IA 50841-1420 | 2018-08-15 |
Find all providers with the same taxonomy |
City | CEDAR FALLS |
Zip Code | 50613 |
Please comment or provide details below to improve the information on BASURTO BEHAVIORAL HEALTH, LLC.
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.