MR. CARL F DORNER III (NPI# 1245361260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245361260 |
| Entity Type | Individual |
| Full Name | MR. CARL F DORNER III |
| Credential | PLMHP |
| Practice Address |
23506 F St # 5 Waterloo NE 68069-4209 |
| Practice Telephone | 4027075589 |
| Mailing Telephone | 4027075589 |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
7956 | NE | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 10025367000 | 05 |
| Street Address |
23506 F ST # 5 |
| City | WATERLOO |
| State | NE |
| Zip Code | 68069-4209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265596183 | Waterloo Fire Department | Ambulance | 4th & North Front St, Waterloo, NE 68069 | 2006-12-22 |
| 1265649131 | Cynthia S Meier | Counselor | 201 3rd Street, Waterloo, NE 68069-0279 | 2007-05-17 |
| 1003420100 | Paige Stanzel | Physician Assistant | 610 Jefferson St, Waterloo, NE 68069-2212 | 2020-09-04 |
| 1194042788 | Waterloo Fire and Rescue | Ambulance | 405 7th St, Waterloo, NE 68069-2245 | 2010-04-23 |
| 1649804451 | Carnahan Pediatric Therapy, LLC | Physical Therapist | 800 N Front St Ste 510, Waterloo, NE 68069-2249 | 2020-03-02 |
| 1568076594 | Michelle Ann Tsatsos | Speech-Language Pathologist | 24918 Mason St, Waterloo, NE 68069-4434 | 2020-09-08 |
| 1134408321 | Kristin Jean Korth | Occupational Therapist | 134 N 248th Cir, Waterloo, NE 68069-4690 | 2011-08-05 |
| 1356885024 | Pro Care Mental Health Inc | Nurse Practitioner | 421 S 243rd St, Waterloo, NE 68069-4704 | 2016-12-14 |
| 1770838997 | Lezli Mantzaris | Counselor | 1314 S 258th St, Waterloo, NE 68069-4814 | 2012-07-14 |
| 1285940791 | Richard M Buttner Dpt PC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 24325 Howard Cir, Waterloo, NE 68069-4839 | 2010-08-20 |
| Find all providers in zip 68069 | ||||
| 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 | ||||
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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.