EYERLY BALL COMMUNITY MENTAL HEALTH SERVICES (NPI# 1720119126) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720119126 |
| Entity Type | Organization |
| Organization Name | EYERLY BALL COMMUNITY MENTAL HEALTH SERVICES |
| Practice Address |
1301 Center St Des Moines IA 50309-1004 |
| Practice Telephone | 5152435181 |
| Mailing Telephone | 5152435181 |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | LAWRENCE J HEJTMANEK (DIRECTOR OF PROF SERVICES) |
| Authorized Official Telephone | 5152435181 |
| Authorized Official Credential | LISW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0109439 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922369263 | Eyerly Ball Community Mental Health Services | Community/Behavioral Health | 3009 Center St, Des Moines, IA 50312-3721 | 2012-06-04 |
| 1982657490 | Eyerly Ball Community Mental Health Services | Clinic/Center | 1301 Center St, Des Moines, IA 50309-1004 | 2006-05-18 |
| 1639200033 | Eyerly Ball Community Mental Health Services | Community/Behavioral Health | 1301 Center St, Des Moines, IA 50309-1004 | 2007-03-08 |
| Street Address |
1301 CENTER ST |
| City | DES MOINES |
| State | IA |
| Zip Code | 50309-1004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982657490 | Eyerly Ball Community Mental Health Services | Clinic/Center | 1301 Center St, Des Moines, IA 50309-1004 | 2006-05-18 |
| 1366042251 | Meghann A. Hart | Social Worker | 1301 Center St, Des Moines, IA 50309-1004 | 2020-10-29 |
| 1144873282 | Kennedy Laville Thoren | Registered Nurse | 1301 Center St, Des Moines, IA 50309-1004 | 2019-07-18 |
| 1710549894 | Veronica Holloway | Nurse Practitioner | 1301 Center St, Des Moines, IA 50309-1004 | 2019-06-28 |
| 1023581451 | Marshall Dean Abbe IIi | Social Worker | 1301 Center St, Des Moines, IA 50309-1004 | 2019-01-08 |
| 1215423348 | Kimberly Kaye Wilson | Social Worker | 1301 Center St, Des Moines, IA 50309-1004 | 2018-07-01 |
| 1053808006 | Marisa Catherine Mickunas | Counselor | 1301 Center St, Des Moines, IA 50309-1004 | 2018-04-16 |
| 1265964761 | Kimberlee Gregory | Social Worker | 1301 Center St, Des Moines, IA 50309-1004 | 2017-04-03 |
| 1306386313 | John Francis Morrow | Social Worker | 1301 Center St, Des Moines, IA 50309-1004 | 2017-02-24 |
| 1295175685 | Harold Lars Peterson | Social Worker | 1301 Center St, Des Moines, IA 50309-1004 | 2013-06-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972126894 | Marie Danielle Leblanc | Surgery | Anna Blank Building, Level 2, Dept Pediatric Surgery, 1206 Pleasant Street, Des Moines, IA 50309 | 2020-05-27 |
| 1538710421 | Macy Mckendree | Social Worker | 918 Se 11th St., Des Moines, IA 50309 | 2019-09-23 |
| 1750938825 | Paradocs Psychological Services | Clinic/Center | 1400 Walnut St #110, Onyx Business, Des Moines, IA 50309 | 2019-08-22 |
| 1003315011 | Hyvacs, LLC | Durable Medical Equipment & Medical Supplies | 215 10th St Ste 110, Des Moines, IA 50309 | 2018-02-05 |
| 1770005746 | Jacob Michael Boyle | Chiropractor | 500 Sw 7th St Ste 205, Des Moines, IA 50309 | 2017-07-12 |
| 1831646140 | Innovative Transport Enterprise, LLC | Non-emergency Medical Transport (VAN) | 309 Court Ave, Ste 811, Des Moines, Ia, 50309, Ste 811, Des Moines, IA 50309 | 2016-09-02 |
| 1457807000 | Patricia Bularzik | Social Worker | 808 5th Avenue, Des Moines, IA 50309 | 2016-09-01 |
| 1396128492 | Sarah Lynn Cavan | Social Worker | 1301 Center, Eyerly Ball Community Mental Health Center, Des Moines, IA 50309 | 2015-07-07 |
| 1104204056 | Andrea Lynn Jones | Social Worker | 600 E Court Ste 200, Des Moines, IA 50309 | 2015-05-12 |
| 1811388937 | Matthew Zirretta | Physical Therapist | 1515 Linden Street, 1st Floor, Integrated Physical Therapy & Sports Medicine, Des Moines, IA 50309 | 2015-02-11 |
| Find all providers in zip 50309 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255868360 | On With Life, Inc | Community/Behavioral Health | 692 Nw 43rd Ave, Des Moines, IA 50313 | 2017-05-19 |
| 1508313222 | Change Behavioral Health, Inc | Community/Behavioral Health | 2400 86th St, 14, Des Moines, IA 50322-4304 | 2016-09-10 |
| 1255798609 | Steenhoven Therapy Services | Community/Behavioral Health | 3850 Merle Hay Rd Ste 506, Des Moines, IA 50310-1324 | 2016-01-15 |
| 1215270863 | Eyerly Ball Cmhs | Community/Behavioral Health | 4019 University Ave, Des Moines, IA 50311-3530 | 2013-04-02 |
| 1275873499 | Innovative Counseling & Consulting, Inc. | Community/Behavioral Health | 1063 14th Pl Ste A, Des Moines, IA 50314-1245 | 2013-02-25 |
| 1922369263 | Eyerly Ball Community Mental Health Services | Community/Behavioral Health | 3009 Center St, Des Moines, IA 50312-3721 | 2012-06-04 |
| 1952675787 | Authentic Freedom Counseling Center | Community/Behavioral Health | 4211 Grand Ave # 12, Des Moines, IA 50312-2423 | 2012-02-24 |
| 1356643647 | Bethany Christian Services of South Central Iowa | Community/Behavioral Health | 316 E 6th St, Des Moines, IA 50309-1907 | 2010-11-19 |
| 1982915724 | The Art of Friendship | Community/Behavioral Health | 2823 43rd St, #1, Des Moines, IA 50310-3434 | 2010-06-26 |
| 1689819088 | New Horizons Counseling, LLC | Community/Behavioral Health | 1922 Ingersoll Ave Ste 112, Des Moines, IA 50309-3321 | 2008-12-13 |
| Find all providers in DES MOINES | ||||
| City | DES MOINES |
| Zip Code | 50309 |
Please comment or provide details below to improve the information on EYERLY BALL COMMUNITY MENTAL HEALTH SERVICES.
| 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.