BAKARI BEHAVIORAL HEALTH INC. (NPI# 1780977959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780977959 |
| Entity Type | Organization |
| Organization Name | BAKARI BEHAVIORAL HEALTH INC. |
| Practice Address |
515 Beech St Waterloo IA 50703-3317 |
| Practice Telephone | 3198833067 |
| Practice Fax Number | 3198833069 |
| Mailing Telephone | 3198833067 |
| Mailing Fax Number | 3198833069 |
| Enumeration Date | 2011-05-22 |
| Last Update Date | 2018-04-12 |
| Authorized Official Name | MR. DAVID WAYNE GOODSON (PRESIDENT) |
| Authorized Official Telephone | 3198833067 |
| Authorized Official Credential | MSW |
| 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 | 1780977959 | 05 |
| Street Address |
515 BEECH ST |
| City | WATERLOO |
| State | IA |
| Zip Code | 50703-3317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649832601 | Brittany Elizabeth Martin | Behavior Technician | 515 Beech St, Waterloo, IA 50703-3317 | 2019-06-30 |
| 1104278175 | Janeece Hodge | Social Worker | 515 Beech St, Waterloo, IA 50703-3317 | 2016-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306363841 | Kristie Wood | Counselor | 1420 W. Donald St, Waterloo, IA 50703 | 2017-08-25 |
| 1215359054 | Chuck Corwin | Counselor | 607 Sycamore Street, Suite 300, Waterloo, IA 50703 | 2014-01-14 |
| 1679672554 | Linda D Bartollas | Social Worker | 146 West Dale Street, Suite 101, Waterloo, IA 50703 | 2006-09-21 |
| 1558477745 | Brent Matthew Hintz | Obstetrics & Gynecology | 212 West Dale St., Suite 402, Waterloo, IA 50703 | 2006-08-21 |
| 1588629729 | Mir Ahmad Waziri | Pediatrics | 212 W Dale Street, Suite 302, Waterloo, IA 50703 | 2006-04-19 |
| 1568432615 | Wei Yang | Pathology | Northeast Iowa Pathology Associates, PC, 1825 Logan Avenue, Waterloo, IA 50703 | 2006-01-23 |
| 1689158040 | Megan Elizabeth O'neal | Nurse Practitioner | 1631 Logan Ave, Waterloo, IA 50703 | 2018-09-21 |
| 1972031359 | Stephanie Rose Smith | Nurse Practitioner | 1631 Logan Ave, Waterloo, IA 50703 | 2017-05-30 |
| 1801263462 | Krissy Jean Wieland | Nurse Practitioner | 220 Franklin St, Waterloo, IA 50703 | 2015-08-28 |
| 1699169698 | Jens Masters Olsen | Emergency Medicine | 1825 Logan Ave, Waterloo, IA 50703 | 2015-03-27 |
| Find all providers in zip 50703 | ||||
| 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 |
|---|---|---|---|---|
| 1538794110 | Mindful Connections, LLC | Community/Behavioral Health | 3731 Pheasant Ln # 203, Waterloo, IA 50701-5215 | 2020-03-04 |
| 1932633609 | Access Evaluation and Education Services, L.L.C. | Community/Behavioral Health | 1903 W Ridgeway Ave, Waterloo, IA 50701-4547 | 2017-04-19 |
| 1114395258 | Hope Tree Counseling Services Inc. | Community/Behavioral Health | 1420 W Donald St, Waterloo, IA 50703-1624 | 2015-09-07 |
| 1023484383 | New Start Behavioral Services | Community/Behavioral Health | 212 E 4th Street, Waterloo, IA 50703-2328 | 2015-08-20 |
| 1538500566 | Healing Harvest Ministries, Inc. | Community/Behavioral Health | 669 S Hackett Rd, Waterloo, IA 50701-5632 | 2013-07-06 |
| 1366782427 | Change Behavioral Health | Community/Behavioral Health | 2315 Falls Ave Ste 1, Waterloo, IA 50701-5736 | 2013-02-26 |
| 1093006017 | Change Behavioral Health, Inc | Community/Behavioral Health | 501 Sycamore St Ste 623, Waterloo, IA 50703-4651 | 2011-04-25 |
| 1225346893 | 1st Steps To Success | Community/Behavioral Health | 209 Candlewick Rd, Waterloo, IA 50703-1303 | 2010-09-16 |
| 1346395027 | Counseling and Therapy Associates,llc | Community/Behavioral Health | 3120 Kimball Ave, Suite B & C, Waterloo, IA 50702-5272 | 2007-01-24 |
| 1760548440 | Goodwill Industries of Ne Iowa Inc | Community/Behavioral Health | 2640 Falls Ave, Waterloo, IA 50701-5722 | 2006-12-28 |
| 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.