SELF-AWARENESS, LLC (NPI# 1760859680) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760859680 |
| Entity Type | Organization |
| Organization Name | SELF-AWARENESS, LLC |
| Practice Address |
2301 Forest Ave Des Moines IA 50311-3113 |
| Practice Telephone | 5152770320 |
| Practice Fax Number | 5152770358 |
| Mailing Telephone | 5152770320 |
| Mailing Fax Number | 5152770358 |
| Enumeration Date | 2015-08-26 |
| Last Update Date | 2015-08-26 |
| Authorized Official Name | MR. JEROME MILLER (ECECUTIVE DIRECTOR/COUNSELOR) |
| Authorized Official Telephone | 5152770320 |
| Authorized Official Credential | CADC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
1377 | IA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | MAGELLAN | 601004190 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336538180 | Self-awareness, LLC | Counselor | 2301 Forest Ave, Des Moines, IA 50311-3113 | 2015-01-16 |
| Street Address |
2301 FOREST AVE |
| City | DES MOINES |
| State | IA |
| Zip Code | 50311-3113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659897817 | Jessica Gina-marie Williams | Counselor | 2301 Forest Ave, Des Moines, IA 50311-3113 | 2017-08-19 |
| 1336538180 | Self-awareness, LLC | Counselor | 2301 Forest Ave, Des Moines, IA 50311-3113 | 2015-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518517986 | Gina Nichols | Technician | 1529 61st St, Des Moines, IA 50311 | 2019-09-17 |
| 1841429990 | Joann E Lambert | Counselor | 4900 University Ave Suite 210, Des Moines, IA 50311 | 2009-07-10 |
| 1609005750 | Michael L Hopkins | Psychologist | 4900 University Ave, Suite 210, Des Moines, IA 50311 | 2009-07-10 |
| 1598971491 | Dennis P O'meara | Dentist | 1000 73rd St., Suite 7, Des Moines, IA 50311 | 2007-05-15 |
| 1093877979 | Drs Work and Carlson PC | Dentist | 1145 66th St, Des Moines, IA 50311 | 2006-12-15 |
| 1427128370 | Daniel Phillip Bartlett | Dentist | 1000 73rd St Ste 1, Des Moines, IA 50311 | 2006-11-08 |
| 1710057096 | Randall James Ruisch | Dentist | 1000 73rd St., Ste 1, Des Moines, IA 50311 | 2006-11-08 |
| 1053407569 | Robert C. Margeas | Dentist | 1233 63rd St., Des Moines, IA 50311 | 2006-10-04 |
| 1356434872 | Mary Susan Knapp | Social Worker | 6957 University Ave., Windsor Heights, IA 50311 | 2006-10-02 |
| 1598877755 | O'meara Dental | Dentist | 1000 73rd Street, Suite 7, Des Moines, IA 50311 | 2006-08-31 |
| Find all providers in zip 50311 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689897225 | House of Mercy | Clinic/Center | 1409 Clark St, Des Moines, IA 50314-1964 | 2007-04-11 |
| 1932221611 | House of Mercy | Clinic/Center | 1409 Clark St, Des Moines, IA 50314-1964 | 2007-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154951168 | Sober Strategies Inc. | Clinic/Center | 2655 100th St, Urbandale, IA 50322-3808 | 2020-01-17 |
| 1285275875 | New Journey Addiction Counseling, LLC. | Clinic/Center | 208 5th St Ste 150, Ames, IA 50010-6259 | 2019-10-04 |
| 1003289323 | New Beginnings Mental Health Therapy Services | Clinic/Center | 709 Cottonwood Rd, Creston, IA 50801-1914 | 2015-11-09 |
| 1043581648 | Zion Recovery Services, Inc. | Clinic/Center | 615 Northwest Rd, Shenandoah, IA 51601-1199 | 2012-01-13 |
| 1851669378 | Zion Recovery Services, Inc. | Clinic/Center | 2812 1st Ave, Perry, IA 50220-9709 | 2011-12-12 |
| 1699043117 | Zion Recovery Services, Inc. | Clinic/Center | 121 S 15th St, Suite B, Clarinda, IA 51632-2249 | 2011-12-12 |
| 1780952200 | Zion Recovery Services, Inc. | Clinic/Center | 90 E Hickman Rd, Waukee, IA 50263-5011 | 2011-12-12 |
| 1326316845 | Zion Recovery Services, Inc. | Clinic/Center | 403 E Coolbaugh St, Red Oak, IA 51566-2319 | 2011-12-12 |
| 1023386547 | Zion Recovery Services, Inc. | Clinic/Center | 132 Southeast Court Dr., Greenfield, IA 50849-0255 | 2011-12-12 |
| 1326266792 | New Opportunities, Inc. | Clinic/Center | 23751 Hwy 30, Carroll, IA 51401-0427 | 2007-04-23 |
| Find all providers with the same taxonomy | ||||
| City | DES MOINES |
| Zip Code | 50311 |
Please comment or provide details below to improve the information on SELF-AWARENESS, 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.