WOODWARD YOUTH CORPORATION (NPI# 1760855266) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760855266 |
| Entity Type | Organization |
| Organization Name | WOODWARD YOUTH CORPORATION |
| Other Organization Name | WOODWARD COMMUNITY BASED SERVICES |
| Practice Address |
611 5th Ave Ground Level Des Moines IA 50309-1603 |
| Practice Telephone | 5152749607 |
| Practice Fax Number | 5152749614 |
| Mailing Telephone | 5152749607 |
| Mailing Fax Number | 5152749614 |
| Enumeration Date | 2015-11-05 |
| Last Update Date | 2015-11-05 |
| Authorized Official Name | MR. SHAWN HOLLENKAMP (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5152374050 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 317887 | IA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 1140012 | 05 |
| Other Name | Type Code |
|---|---|
| Woodward Community Based Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962806158 | Woodward Youth Corporation | Residential Treatment Facility, Emotionally Disturbed Children | 1251 334th St, Woodward, IA 50276-7509 | 2014-10-16 |
| 1740695170 | Woodward Youth Corporation | Community/Behavioral Health | 611 5th Ave, Ground Level, Des Moines, IA 50309-1603 | 2014-06-24 |
| 1992839872 | Woodward Youth Corporation | Residential Treatment Facility, Emotionally Disturbed Children | 1251 334th St, Woodward, IA 50276-7509 | 2007-03-15 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | WOODWARD YOUTH CORPORATION | 1251 334th St., Woodward, IA 50276 |
| Street Address |
611 5TH AVE GROUND LEVEL |
| City | DES MOINES |
| State | IA |
| Zip Code | 50309-1603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720558422 | Megan M Wulf | Social Worker | 611 5th Ave, Des Moines, IA 50309-1610 | 2018-11-26 |
| 1851869770 | Tova Raye Hettinger | Counselor | 611 5th Ave, Des Moines, IA 50309-1610 | 2018-11-08 |
| 1679062160 | Patrick Colin Turpin | Counselor | 611 5th Ave, Des Moines, IA 50309-1610 | 2018-05-09 |
| 1063929784 | Anders Dietz-swenson | Counselor | 611 5th Ave, Des Moines, IA 50309-1610 | 2018-01-03 |
| 1104331230 | Emily Genaway Williams | Counselor | 611 5th Ave, Des Moines, IA 50309-1610 | 2017-12-12 |
| 1952816084 | Tammy Sue Oltman | Social Worker | 611 5th Ave, Des Moines, IA 50309-1610 | 2017-12-12 |
| 1598270688 | Emily Ann James | Counselor | 611 5th Ave, Des Moines, IA 50309-1610 | 2017-12-11 |
| 1609380559 | Tess Hughes | Counselor | 611 5th Ave, Des Moines, IA 50309-1610 | 2017-11-29 |
| 1073027124 | Darian Renee Baker | Social Worker | 611 5th Ave, Des Moines, IA 50309-1610 | 2017-11-28 |
| 1336653484 | Jennifer L Pedersen-coulter | Counselor | 611 5th Ave, Des Moines, IA 50309-1610 | 2017-11-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972126894 | Marie Danielle Leblanc | Surgery | Anna Blank Building, Level 2, Dept Pediatric Surgery, 1206 Pleasant Street, Des Moines, IA 50309 | 2020-05-27 |
| 1538710421 | Macy Mckendree | Social Worker | 918 Se 11th St., Des Moines, IA 50309 | 2019-09-23 |
| 1750938825 | Paradocs Psychological Services | Clinic/Center | 1400 Walnut St #110, Onyx Business, Des Moines, IA 50309 | 2019-08-22 |
| 1003315011 | Hyvacs, LLC | Durable Medical Equipment & Medical Supplies | 215 10th St Ste 110, Des Moines, IA 50309 | 2018-02-05 |
| 1770005746 | Jacob Michael Boyle | Chiropractor | 500 Sw 7th St Ste 205, Des Moines, IA 50309 | 2017-07-12 |
| 1831646140 | Innovative Transport Enterprise, LLC | Non-emergency Medical Transport (VAN) | 309 Court Ave, Ste 811, Des Moines, Ia, 50309, Ste 811, Des Moines, IA 50309 | 2016-09-02 |
| 1457807000 | Patricia Bularzik | Social Worker | 808 5th Avenue, Des Moines, IA 50309 | 2016-09-01 |
| 1396128492 | Sarah Lynn Cavan | Social Worker | 1301 Center, Eyerly Ball Community Mental Health Center, Des Moines, IA 50309 | 2015-07-07 |
| 1104204056 | Andrea Lynn Jones | Social Worker | 600 E Court Ste 200, Des Moines, IA 50309 | 2015-05-12 |
| 1811388937 | Matthew Zirretta | Physical Therapist | 1515 Linden Street, 1st Floor, Integrated Physical Therapy & Sports Medicine, Des Moines, IA 50309 | 2015-02-11 |
| Find all providers in zip 50309 | ||||
| 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 |
|---|---|---|---|---|
| 1255868360 | On With Life, Inc | Community/Behavioral Health | 692 Nw 43rd Ave, Des Moines, IA 50313 | 2017-05-19 |
| 1508313222 | Change Behavioral Health, Inc | Community/Behavioral Health | 2400 86th St, 14, Des Moines, IA 50322-4304 | 2016-09-10 |
| 1255798609 | Steenhoven Therapy Services | Community/Behavioral Health | 3850 Merle Hay Rd Ste 506, Des Moines, IA 50310-1324 | 2016-01-15 |
| 1215270863 | Eyerly Ball Cmhs | Community/Behavioral Health | 4019 University Ave, Des Moines, IA 50311-3530 | 2013-04-02 |
| 1275873499 | Innovative Counseling & Consulting, Inc. | Community/Behavioral Health | 1063 14th Pl Ste A, Des Moines, IA 50314-1245 | 2013-02-25 |
| 1922369263 | Eyerly Ball Community Mental Health Services | Community/Behavioral Health | 3009 Center St, Des Moines, IA 50312-3721 | 2012-06-04 |
| 1952675787 | Authentic Freedom Counseling Center | Community/Behavioral Health | 4211 Grand Ave # 12, Des Moines, IA 50312-2423 | 2012-02-24 |
| 1356643647 | Bethany Christian Services of South Central Iowa | Community/Behavioral Health | 316 E 6th St, Des Moines, IA 50309-1907 | 2010-11-19 |
| 1982915724 | The Art of Friendship | Community/Behavioral Health | 2823 43rd St, #1, Des Moines, IA 50310-3434 | 2010-06-26 |
| 1689819088 | New Horizons Counseling, LLC | Community/Behavioral Health | 1922 Ingersoll Ave Ste 112, Des Moines, IA 50309-3321 | 2008-12-13 |
| Find all providers in DES MOINES | ||||
| City | DES MOINES |
| Zip Code | 50309 |
Please comment or provide details below to improve the information on WOODWARD YOUTH CORPORATION.
| 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.