HUMAN SUPPORT SERVICES (NPI# 1801447982) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801447982 |
| Entity Type | Organization |
| Organization Name | HUMAN SUPPORT SERVICES |
| Practice Address |
228 Bradford Ln Ste 2 Waterloo IL 62298-3270 |
| Mailing Address |
988 N Illinois Route 3 Waterloo IL 62298-1059 |
| Practice Telephone | 6189394444 |
| Mailing Telephone | 6189394444 |
| Enumeration Date | 2019-09-20 |
| Last Update Date | 2019-09-20 |
| Authorized Official Name | MELISSA JONES (BUSINESS MANAGER) |
| Authorized Official Telephone | 6189394444 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | PENDING | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851728570 | Human Support Services | Counselor | 228 Bradford Ln, Apartment 5, Waterloo, IL 62298-3270 | 2013-09-27 |
| 1437586112 | Human Support Services | Counselor | 224 N Main St Rear, Waterloo, IL 62298-1264 | 2013-09-26 |
| 1245795251 | Human Support Services | Counselor | 960 Columbia Ctr, Columbia, IL 62236-2545 | 2019-02-04 |
| 1548731060 | Human Support Services | Day Training, Developmentally Disabled Services | 988 N Illinois Route 3, Waterloo, IL 62298-1059 | 2018-12-10 |
| 1639660244 | Human Support Services | Clinic/Center | 988 N Illinois Route 3, Waterloo, IL 62298-1059 | 2018-05-21 |
| 1376093625 | Human Support Services | Day Training, Developmentally Disabled Services | 988 N Illinois Route 3, Waterloo, IL 62298-1000 | 2016-10-11 |
| 1851314918 | Human Support Services | Counselor | 988 N Illinois Route 3, Waterloo, IL 62298-1000 | 2006-07-26 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | HUMAN SUPPORT SERVICES CORPORATION | 427 New Karner Road, Suite 7, Albany, Ny 12205 |
| Street Address |
228 BRADFORD LN STE 2 |
| City | WATERLOO |
| State | IL |
| Zip Code | 62298-3270 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508471418 | Waterloo Urgent Care Walk In Clinic Company | Clinic/Center | 901 Illinois Route 3, Waterloo, IL 62298 | 2020-09-09 |
| 1235624867 | Las Davis Enterprises | Hearing Instrument Specialist | 911 State Rte 3, Waterloo, IL 62298 | 2018-06-26 |
| 1255727269 | Anna Witges | Counselor | 988 Il-3, Waterloo, IL 62298 | 2015-04-07 |
| 1558766741 | Sheri Buettner | Counselor | 988 Illinois Route 3, Waterloo, IL 62298 | 2014-10-30 |
| 1386050953 | Jessica Liefer | Counselor | 988 N Illinois Rt 3, Waterloo, IL 62298 | 2014-07-03 |
| 1952729279 | Orthodontic Associates of Columbia and Waterloo | Dentist | 224 Bradford Lane Suite B, Waterloo, IL 62298 | 2014-04-03 |
| 1588963961 | Monroe County Surgical Center,llc | Clinic/Center | 501 Hamacher St, Waterloo, IL 62298 | 2011-03-24 |
| 1841523776 | Waterloo Women's Health | Nurse Practitioner | 869 N. Illinois Rt 3, Waterloo, IL 62298 | 2009-09-10 |
| 1548444011 | Marla Rae Smith | Nurse Practitioner | 869 North Illinois Rt 3, Waterloo, IL 62298 | 2007-12-20 |
| 1649464553 | Clarkson Optometry Illinois PC | Optometrist | 204 Bradford Lane, Waterloo, IL 62298 | 2007-09-04 |
| Find all providers in zip 62298 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316944598 | Black Hawk-grundy Mental Health Center Inc. | Clinic/Center | 3251 W 9th St, Waterloo, IA 50702-5310 | 2005-07-05 |
| 1275141350 | Elevate Ccbhc LLC | Clinic/Center | 1410 W Dunkerton Rd, Waterloo, IA 50703-9648 | 2020-07-15 |
| 1710503982 | Elevate Housing Foundation | Clinic/Center | 1410 W Dunkerton Rd, Waterloo, IA 50703-9648 | 2020-06-23 |
| 1598065781 | Heal The Family, Inc. | Clinic/Center | 215 E 4th St, Waterloo, IA 50703-4701 | 2010-10-22 |
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| 1225639990 | Mindy Forman, Psyd, LLC | Clinic/Center | 1020 Milwaukee Ave Ste 110, Deerfield, IL 60015-3555 | 2020-11-07 |
| 1346840295 | Stopka Professional Counseling LLC | Clinic/Center | 13125 Steeplechase Dr, New Lenox, IL 60451-1320 | 2020-10-29 |
| 1346848785 | Wellness Hearted Therapy LLC | Clinic/Center | 2675 S Cedar Glen Dr, Arlington Heights, IL 60005-5303 | 2020-10-16 |
| 1457959256 | Association for Individual Development | Clinic/Center | 708 N Bridge St, Yorkville, IL 60560-1105 | 2020-10-14 |
| 1285231555 | Association for Individual Development | Clinic/Center | 236 W Crystal Lake Ave, Crystal Lake, IL 60014-5847 | 2020-10-08 |
| 1386241123 | Envision Unlimited | Clinic/Center | 1801 N Spaulding Ave, Chicago, IL 60647-4926 | 2020-10-05 |
| 1881291789 | Jessica Weisbach, LLC | Clinic/Center | 2257 N Kedzie Blvd Apt 3, Chicago, IL 60647-2561 | 2020-10-04 |
| 1619574803 | Envision Unlimited | Clinic/Center | 2124 W 82nd Pl, Chicago, IL 60620-5358 | 2020-10-01 |
| 1144827320 | Envision Unlimited | Clinic/Center | 4919 N Clark St, Chicago, IL 60640-3514 | 2020-10-01 |
| 1194322370 | Envision Unlimited | Clinic/Center | 4911 S Hoyne Ave, Chicago, IL 60609-4721 | 2020-10-01 |
| Find all providers with the same taxonomy | ||||
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| 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.