CAROL ANN TJADEN (NPI# 1508345455) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508345455 |
| Entity Type | Individual |
| Full Name | CAROL ANN TJADEN |
| Credential | LMSW,IADC |
| Practice Address |
615 Grant Ave Waterloo IA 50702-2111 |
| Mailing Address |
147 Summit Ave Waterloo IA 50701-2757 |
| Practice Telephone | 3196101660 |
| Mailing Telephone | 3196101660 |
| Enumeration Date | 2018-08-11 |
| Last Update Date | 2018-08-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
IA | Behavioral Health & Social Service Providers | |
| N | 104100000X | Social Worker | 2045 | IA | Behavioral Health & Social Service Providers |
| Street Address |
615 GRANT AVE |
| City | WATERLOO |
| State | IA |
| Zip Code | 50702-2111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083851083 | Emily K Allaire | Social Worker | 615 Grant Ave, Waterloo, IA 50702-2111 | 2009-01-13 |
| 1912401803 | Emotional Health Partners, LLC | Social Worker | 615 Grant Ave, Waterloo, IA 50702-2111 | 2018-03-23 |
| 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 | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831693290 | Blue Gregory Boyer | Counselor | 3362 University Ave., Waterloo, IA 50701 | 2018-03-21 |
| 1841738788 | Kristina Marie Metz | Counselor | 31 Thurber Dr., Waterloo, NY 13165 | 2017-02-10 |
| 1184160152 | Danielle Sharar | Counselor | 607 Sycamore St, Ste. 300, Waterloo, IA 50703-4736 | 2017-01-13 |
| 1114310356 | Amy Holt | Counselor | 607 Sycamore St Ste 300, Waterloo, IA 50703-4799 | 2015-03-12 |
| 1841612264 | Sarah Panther | Counselor | 1237 Eleanor Dr, Waterloo, IA 50701-3420 | 2014-01-21 |
| 1215359054 | Chuck Corwin | Counselor | 607 Sycamore Street, Suite 300, Waterloo, IA 50703 | 2014-01-14 |
| 1053678425 | Amanda Schara | Counselor | 3366 University Ave, Waterloo, IA 50701-2006 | 2012-04-23 |
| 1730366949 | Tammy Lynn Orlopp | Counselor | 3776 Yost Rd, Waterloo, NY 13165-8445 | 2008-01-30 |
| 1316001845 | Holly A Helm | Counselor | 1727 University Ave, Waterloo, IA 50701-2422 | 2006-12-20 |
| 1689734451 | Pathways Behavioral Services Inc | Counselor | 3362 University Ave, Waterloo, IA 50701-2006 | 2006-12-11 |
| 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.