INNOVATIVE FAMILY THERAPY & PLAY THERAPY CENTER LLC (NPI# 1497219653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1497219653 |
Entity Type | Organization |
Organization Name | INNOVATIVE FAMILY THERAPY & PLAY THERAPY CENTER LLC |
Practice Address |
409 N 4th St Ste 108 Burlington IA 52601-5255 |
Mailing Address |
Po Box 12 Burlington IA 52601-0012 |
Practice Telephone | 3197599414 |
Mailing Telephone | 3197599414 |
Enumeration Date | 2019-01-22 |
Last Update Date | 2019-01-22 |
Authorized Official Name | THERESA RECKLING (OWNER/LMFT) |
Authorized Official Telephone | 3197599414 |
Authorized Official Credential | MA, LMFT, RPT |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
Y | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers |
Entity Type | Entity Name | Entity Address |
---|---|---|
Iowa Business Entities | INNOVATIVE FAMILY THERAPY & PLAY THERAPY CENTER LLC | 409 N 4th St, Burlington, IA 52601 |
Street Address |
409 N 4TH ST STE 108 |
City | BURLINGTON |
State | IA |
Zip Code | 52601-5255 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033748017 | Quentin Eugene Hill | Technician | 528 South 7th St, Burlington, IA 52601 | 2020-04-02 |
1619320645 | Alisa Nicole Smith | Social Worker | 409 N. 4th St., Burlington, IA 52601 | 2016-07-14 |
1568870020 | Denise Reichman | Registered Nurse | 2509 Sunrise Ln, Burlington, IA 52601 | 2014-07-29 |
1891131355 | Ainsley Joyce Fedler | Speech-Language Pathologist | 9302 Glenmark Drive, Burlington, IA 52601 | 2013-05-10 |
1851640932 | Melissa A Rupp | Optometrist | 1035 Lawrence Drive, Suite 106, Burlington, IA 52601 | 2012-09-05 |
1508123068 | Advanced Home Health Care | Home Health | 550 S. Roosevelt, Burlington, IA 52601 | 2012-04-20 |
1144591926 | David Eric Johnson | Pharmacist | 201 South Central, Burlington, IA 52601 | 2012-01-25 |
1548537525 | Michael James Colgan | Pharmacist | 3245 Agency Street, Burlington, IA 52601 | 2011-11-19 |
1881971190 | Elaine Frances Lehman | Counselor | 724 North 3rd St., Burlington, IA 52601 | 2011-11-15 |
1992086508 | Jacqueline Gwen Robbins | Counselor | 4715 Sullivan Slough Road, Burlington, IA 52601 | 2011-09-09 |
Find all providers in zip 52601 |
Taxonomy Code | 106H00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Marriage & Family Therapist |
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033734298 | Gurjot Mondair | Marriage & Family Therapist | 11 Thorn Briar Ln, Burlington, NJ 08016-5131 | 2020-06-13 |
1225504863 | Debra Denise Adamczyk | Marriage & Family Therapist | 33 Riverwalk Blvd, Burlington, NJ 08016-1066 | 2018-10-22 |
1164802286 | Alesia Chestnut-jefferson | Marriage & Family Therapist | 114 Delaware Ave W, Burlington, NJ 08016-1312 | 2015-06-03 |
1285977934 | Theresa Reckling | Marriage & Family Therapist | 205 Washington St Ste 200, Burlington, IA 52601-5261 | 2013-04-01 |
1154621209 | Danita Sharice Thompson | Marriage & Family Therapist | 116 W Broad St, Burlington, NJ 08016-1410 | 2010-10-22 |
1073726915 | Richard Orshoff | Marriage & Family Therapist | 95 College St, Burlington, VT 05401-8426 | 2007-05-07 |
1477605863 | Andrew Rader | Marriage & Family Therapist | 6080 Camp Ernst Rd, Burlington, KY 41005-8354 | 2007-01-17 |
1063509495 | Joanna Foust Warren | Marriage & Family Therapist | 2207 Delaney Dr, Burlington, NC 27215-5263 | 2006-10-06 |
1255446928 | Sandra Sue Schrader | Marriage & Family Therapist | 80 Daniel Trace, Burlington, CT 06013-1722 | 2006-08-20 |
1811909260 | Scott E Bair | Marriage & Family Therapist | 1621 Dodge St, Burlington, IA 52601-3202 | 2006-08-13 |
Find all providers in BURLINGTON |
City | BURLINGTON |
Zip Code | 52601 |
Please comment or provide details below to improve the information on INNOVATIVE FAMILY THERAPY & PLAY THERAPY CENTER 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.