MR. JOHN R. CHURCH (NPI# 1093048282) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093048282 |
| Entity Type | Individual |
| Full Name | MR. JOHN R. CHURCH |
| Credential | LMHC |
| Practice Address |
847 W 4th St Waterloo IA 50702-2141 |
| Mailing Address |
4002 Matthew Dr Waterloo IA 50701-3563 |
| Practice Telephone | 3192158197 |
| Mailing Telephone | 3192158197 |
| Enumeration Date | 2009-09-07 |
| Last Update Date | 2018-09-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
001065 | IA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164724928 | John Church | Psychiatry & Neurology | 2340 Powell St, #402, Emeryville, CA 94608-1738 | 2010-11-30 |
| 1023095064 | John E Church | Chiropractor | 1515 Mount Zion Ave, Janesville, WI 53545-1111 | 2005-12-30 |
| 1194701649 | John Clayton Church | Radiology | 1502 N Thornton Ave, Dalton, GA 30720-3064 | 2005-12-16 |
| 1669002655 | John Church Jr. | Counselor | 770 Woodlane Rd, Westampton, NJ 08060-3804 | 2020-01-19 |
| 1336298439 | John Mark Church Jr. | Plastic Surgery | 3525 Prytania St, Suite 230, New Orleans, LA 70115-3500 | 2007-01-09 |
| Street Address |
847 W 4TH ST |
| City | WATERLOO |
| State | IA |
| Zip Code | 50702-2141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215923958 | Denise Maas | Counselor | 847 W 4th St, Waterloo, IA 50702-2141 | 2005-09-27 |
| 1003015991 | Christensen,christensen & Freeseman,pc | Dentist | 847 W 4th St, Waterloo, IA 50702-2141 | 2007-07-12 |
| 1144394495 | Gregory Paul Christensen | Dentist | 847 W 4th St, Waterloo, IA 50702-2141 | 2006-11-20 |
| 1073687323 | Michael Paul Freeseman | Dentist | 847 W 4th St, Waterloo, IA 50702-2141 | 2006-11-20 |
| 1558457606 | Roger A Day | Dentist | 847 W 4th St, Waterloo, IA 50702-2144 | 2006-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629684709 | Peoples Community Health Clinic, Inc | Clinic/Center | 425 1/2 East Ridgeway Ave., Waterloo, IA 50702 | 2020-09-23 |
| 1346867439 | Kinza Ali | Family Medicine | 2055 Kimball Avenue, Suite 101, Waterloo, IA 50702 | 2020-07-06 |
| 1073176533 | Sandeep Badyal | Family Medicine | Ne Ia Family Medicine Residency Program, 2055 Kimball Ave. Ste. 101, Waterloo, IA 50702 | 2019-04-19 |
| 1619530763 | Sophia Tariq Qureshi | Family Medicine | Ne Ia Medical Education Foundation, 2055 Kimball Ave. Ste. 101, Waterloo, IA 50702 | 2019-04-15 |
| 1659869915 | Alicia M Johnson | Advanced Practice Midwife | 439 King Street, Waterloo, IA 50702 | 2018-04-23 |
| 1427591411 | Alexandra E. Becker | Specialist/Technologist | 4157 Mourning Dove Drive, Waterloo, IA 50702 | 2016-11-23 |
| 1255793196 | Eastern Iowa Therapeutics PC | Physical Therapist | 1655 E San Marnan Dr, Ste A, Waterloo, IA 50702 | 2016-03-21 |
| 1972859288 | Noble Cedar Psychological Institute | Psychologist | 1425 W. 5th Street, Suite 1, Waterloo, IA 50702 | 2012-07-24 |
| 1417223363 | Rita Marie Menart | Counselor | 2101 Kimball Ave., Suite 138, Waterloo, IA 50702 | 2012-03-26 |
| 1336411685 | Jagpal Singh Suman | Hospitalist | 3421 West 9th Street, Waterloo, IA 50702 | 2012-02-02 |
| Find all providers in zip 50702 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801447982 | Human Support Services | Counselor | 228 Bradford Ln Ste 2, Waterloo, IL 62298-3270 | 2019-09-20 |
| 1306363841 | Kristie Wood | Counselor | 1420 W. Donald St, Waterloo, IA 50703 | 2017-08-25 |
| 1316462682 | Samarah Greeves | Counselor | 3261 University Ave, Waterloo, IA 50701-2051 | 2017-08-08 |
| 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 |
| 1427487537 | Tania Doverspike | Counselor | 3 Thurber Dr, Waterloo, NY 13165-9454 | 2013-11-08 |
| 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 |
| 1770838997 | Lezli Mantzaris | Counselor | 1314 S 258th St, Waterloo, NE 68069-4814 | 2012-07-14 |
| Find all providers in WATERLOO | ||||
Please comment or provide details below to improve the information on MR. JOHN R. CHURCH.
| 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.