HUMAN SUPPORT SERVICES (NPI# 1851314918) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851314918 |
| Entity Type | Organization |
| Organization Name | HUMAN SUPPORT SERVICES |
| Practice Address |
988 N Illinois Route 3 Waterloo IL 62298-1000 |
| Mailing Address |
988 N Illinois Route 3 Po Box 146 Waterloo IL 62298-1000 |
| Practice Telephone | 6189394444 |
| Practice Fax Number | 6189394181 |
| Mailing Telephone | 6189394444 |
| Mailing Fax Number | 6189394181 |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2018-11-26 |
| Authorized Official Name | MELISSA JONES (BUSINESS MANAGER) |
| Authorized Official Telephone | 6189394444 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
N/A | IL | Behavioral Health & Social Service Providers |
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BLUE CROSS BLUE SHIELD | 067-15560 | 01 |
| MO | BLUE CROSS BLUE SHIELD | 10B862 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801447982 | Human Support Services | Counselor | 228 Bradford Ln Ste 2, Waterloo, IL 62298-3270 | 2019-09-20 |
| 1851728570 | Human Support Services | Counselor | 228 Bradford Ln, Apartment 5, Waterloo, IL 62298-3270 | 2013-09-27 |
| 1437586112 | Human Support Services | Counselor | 224 N Main St Rear, Waterloo, IL 62298-1264 | 2013-09-26 |
| 1245795251 | Human Support Services | Counselor | 960 Columbia Ctr, Columbia, IL 62236-2545 | 2019-02-04 |
| 1548731060 | Human Support Services | Day Training, Developmentally Disabled Services | 988 N Illinois Route 3, Waterloo, IL 62298-1059 | 2018-12-10 |
| 1639660244 | Human Support Services | Clinic/Center | 988 N Illinois Route 3, Waterloo, IL 62298-1059 | 2018-05-21 |
| 1376093625 | Human Support Services | Day Training, Developmentally Disabled Services | 988 N Illinois Route 3, Waterloo, IL 62298-1000 | 2016-10-11 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | HUMAN SUPPORT SERVICES CORPORATION | 427 New Karner Road, Suite 7, Albany, Ny 12205 |
| Street Address |
988 N ILLINOIS ROUTE 3 |
| City | WATERLOO |
| State | IL |
| Zip Code | 62298-1000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427059476 | Melissa I. Harris | Counselor | 988 N Illinois Route 3, Waterloo, IL 62298-1000 | 2005-08-02 |
| 1104425826 | Lindsey Maag | Rehabilitation Practitioner | 988 N Illinois Route 3, Waterloo, IL 62298-1059 | 2020-10-23 |
| 1124638564 | Anneleyce Dunlop | Case Manager/Care Coordinator | 988 N Illinois Route 3, Waterloo, IL 62298-1059 | 2020-07-31 |
| 1609404367 | Emma Schmidt | Case Manager/Care Coordinator | 988 N Illinois Route 3, Waterloo, IL 62298-1059 | 2020-03-30 |
| 1245868900 | Kizzy Partee | Rehabilitation Practitioner | 988 N Illinois Route 3, Waterloo, IL 62298-1059 | 2020-03-30 |
| 1245863612 | Daniel Valleroy | Case Manager/Care Coordinator | 988 N Illinois Route 3, Waterloo, IL 62298-1059 | 2020-02-13 |
| 1982237350 | Thea Palermo | Case Manager/Care Coordinator | 988 N Illinois Route 3, Waterloo, IL 62298-1059 | 2020-02-13 |
| 1255963997 | Kristen Harris | Rehabilitation Practitioner | 988 N Illinois Route 3, Waterloo, IL 62298-1059 | 2020-02-11 |
| 1013549765 | Amanda Sehr | Rehabilitation Practitioner | 988 N Illinois Route 3, Waterloo, IL 62298-1059 | 2020-02-11 |
| 1467084111 | Trisha Talamantes | Rehabilitation Practitioner | 988 N Illinois Route 3, Waterloo, IL 62298-1059 | 2020-02-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508471418 | Waterloo Urgent Care Walk In Clinic Company | Clinic/Center | 901 Illinois Route 3, Waterloo, IL 62298 | 2020-09-09 |
| 1235624867 | Las Davis Enterprises | Hearing Instrument Specialist | 911 State Rte 3, Waterloo, IL 62298 | 2018-06-26 |
| 1255727269 | Anna Witges | Counselor | 988 Il-3, Waterloo, IL 62298 | 2015-04-07 |
| 1558766741 | Sheri Buettner | Counselor | 988 Illinois Route 3, Waterloo, IL 62298 | 2014-10-30 |
| 1386050953 | Jessica Liefer | Counselor | 988 N Illinois Rt 3, Waterloo, IL 62298 | 2014-07-03 |
| 1952729279 | Orthodontic Associates of Columbia and Waterloo | Dentist | 224 Bradford Lane Suite B, Waterloo, IL 62298 | 2014-04-03 |
| 1588963961 | Monroe County Surgical Center,llc | Clinic/Center | 501 Hamacher St, Waterloo, IL 62298 | 2011-03-24 |
| 1841523776 | Waterloo Women's Health | Nurse Practitioner | 869 N. Illinois Rt 3, Waterloo, IL 62298 | 2009-09-10 |
| 1548444011 | Marla Rae Smith | Nurse Practitioner | 869 North Illinois Rt 3, Waterloo, IL 62298 | 2007-12-20 |
| 1649464553 | Clarkson Optometry Illinois PC | Optometrist | 204 Bradford Lane, Waterloo, IL 62298 | 2007-09-04 |
| Find all providers in zip 62298 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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|---|---|---|---|---|
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| 1598065781 | Heal The Family, Inc. | Clinic/Center | 215 E 4th St, Waterloo, IA 50703-4701 | 2010-10-22 |
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| Find all providers with the same taxonomy | ||||
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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.