FULL CIRCLE THERAPY CENTER, LLC (NPI# 1710270087) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710270087 |
| Entity Type | Organization |
| Organization Name | FULL CIRCLE THERAPY CENTER, LLC |
| Practice Address |
803 3rd Ave Council Bluffs IA 51501 |
| Practice Telephone | 4022106507 |
| Mailing Telephone | 4022106507 |
| Enumeration Date | 2011-05-19 |
| Last Update Date | 2019-08-07 |
| Authorized Official Name | KAMI GUZMAN (CO-OWNER) |
| Authorized Official Telephone | 7123520917 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
001148 | IA | Behavioral Health & Social Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | FULL CIRCLE THERAPY CENTER, LLC | 803 3rd Ave, Council Bluffs, IA 51501 |
| Street Address |
803 3RD AVE |
| City | COUNCIL BLUFFS |
| State | IA |
| Zip Code | 51501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295046787 | Kara Lynn Hensley | Counselor | 803 3rd Ave, Council Bluffs, IA 51501-4101 | 2010-06-29 |
| 1033720057 | Rachelle A Bartlett | Counselor | 803 3rd Ave, Council Bluffs, IA 51501-4101 | 2020-08-13 |
| 1700421575 | Stephanie Grade | Counselor | 803 3rd Ave, Council Bluffs, IA 51501-4101 | 2019-11-15 |
| 1972156313 | Eliot Pozehl | Counselor | 803 3rd Ave, Council Bluffs, IA 51501-4101 | 2019-07-23 |
| 1952873655 | Renae Carrie Larsen | Counselor | 803 3rd Ave, Council Bluffs, IA 51501-4101 | 2018-12-19 |
| 1851876833 | Amanda Marie Jaramillo Ayon | Social Worker | 803 3rd Ave, Council Bluffs, IA 51501-4101 | 2018-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881204691 | Melissa Sue Sperry | Counselor | Melissa Sperry, 4036 Ramelle Dr, Council Bluffs, IA 51501 | 2020-08-06 |
| 1326689076 | Crc Recovery, Inc. | Clinic/Center | 1750 W Broadway, Council Bluffs, IA 51501 | 2019-10-03 |
| 1518451152 | Naomi Kigondu | Registered Nurse | 2323 W Broadway Ste 100, Council Bluffs, IA 51501 | 2018-06-18 |
| 1710400361 | Travis John Alger | Chiropractor | 3424 W Broadway, Council Bluffs, IA 51501 | 2017-07-25 |
| 1124495692 | Jillian Kahl | Speech-Language Pathologist | 1500 N 16th St, Council Bluffs, IA 51501 | 2015-08-31 |
| 1932584323 | Leigh Healey | Dietitian, Registered | 2323 West Broadway, Council Bluffs, IA 51501 | 2015-07-27 |
| 1942558523 | Karen Irene Godin | Registered Nurse | 1702 N 16th Street, Council Bluffs, IA 51501 | 2012-08-29 |
| 1063787505 | Rebecca F Aboe | Dietitian, Registered | 1702 North 16th St., Council Bluffs, IA 51501 | 2012-03-16 |
| 1972883122 | Sara Ann Lott | Occupational Therapist | 1310 N. 17th St., Council Bluffs, IA 51501 | 2011-08-19 |
| 1700042884 | Shopko Stores Operating Co LLC | Durable Medical Equipment & Medical Supplies | 3271 Marketplace Dr, Council Bluffs, IA 51501 | 2008-07-29 |
| Find all providers in zip 51501 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881204691 | Melissa Sue Sperry | Counselor | Melissa Sperry, 4036 Ramelle Dr, Council Bluffs, IA 51501 | 2020-08-06 |
| 1790314243 | Your Self-care Therapy | Counselor | 300 W Broadway # 420, Council Bluffs, IA 51503-9019 | 2020-04-06 |
| 1417598301 | Katherine E Turner | Counselor | 2303 Butler Street, Council Bluffs, IA 51503 | 2019-10-02 |
| 1033769112 | Thomas Edward Koch | Counselor | 803 3rd Ave # Ia51501, Council Bluffs, IA 51501-4101 | 2019-09-19 |
| 1447742036 | Heartland Family Service | Counselor | 622 S 4th St, Council Bluffs, IA 51503-9005 | 2018-05-31 |
| 1336645449 | Rachel Newman | Counselor | 6th St and Ave E, Council Bluffs, IA 51502-2943 | 2018-04-05 |
| 1144776931 | Jeannie Hughes | Counselor | 2315 S 13th St, Council Bluffs, IA 51501-7414 | 2016-08-31 |
| 1316331879 | Angel M. Albertson | Counselor | 500 Willow Ave Ste 209, Council Bluffs, IA 51503-0827 | 2015-03-23 |
| 1639562069 | Heartland Family Service | Counselor | 705 N 16th St, Council Bluffs, IA 51501-0105 | 2015-03-10 |
| 1730599341 | Windy J Disalvo | Counselor | 719 Mill St., Council Bluffs, IA 51502-3008 | 2014-05-05 |
| Find all providers in COUNCIL BLUFFS | ||||
| City | COUNCIL BLUFFS |
| Zip Code | 51501 |
Please comment or provide details below to improve the information on FULL CIRCLE 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.