HUMAN SUPPORT SERVICES (NPI# 1851728570) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851728570 |
| Entity Type | Organization |
| Organization Name | HUMAN SUPPORT SERVICES |
| Practice Address |
228 Bradford Ln Apartment 5 Waterloo IL 62298-3270 |
| Mailing Address |
Po Box 146 Waterloo IL 62298-0146 |
| Practice Telephone | 6189394444 |
| Practice Fax Number | 6189394181 |
| Mailing Telephone | 6189394444 |
| Mailing Fax Number | 6189394181 |
| Enumeration Date | 2013-09-27 |
| Last Update Date | 2013-09-27 |
| Authorized Official Name | MR. ROBERT COLE (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6189394444 |
| Is Organization Subpart | Y |
| Parent Organization Name | HUMAN SUPPORT SERVICES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BCBS | 06715560 | 01 |
| MO | BCBS | 10B862 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801447982 | Human Support Services | Counselor | 228 Bradford Ln Ste 2, Waterloo, IL 62298-3270 | 2019-09-20 |
| 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 |
| 1851314918 | Human Support Services | Counselor | 988 N Illinois Route 3, Waterloo, IL 62298-1000 | 2006-07-26 |
| 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 |
228 BRADFORD LN APARTMENT 5 |
| City | WATERLOO |
| State | IL |
| Zip Code | 62298-3270 |
| 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 | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801447982 | Human Support Services | Counselor | 228 Bradford Ln Ste 2, Waterloo, IL 62298-3270 | 2019-09-20 |
| 1306363841 | Kristie Wood | Counselor | 1420 W. Donald St, Waterloo, IA 50703 | 2017-08-25 |
| 1316462682 | Samarah Greeves | Counselor | 3261 University Ave, Waterloo, IA 50701-2051 | 2017-08-08 |
| 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 |
| 1427487537 | Tania Doverspike | Counselor | 3 Thurber Dr, Waterloo, NY 13165-9454 | 2013-11-08 |
| 1437586112 | Human Support Services | Counselor | 224 N Main St Rear, Waterloo, IL 62298-1264 | 2013-09-26 |
| 1770838997 | Lezli Mantzaris | Counselor | 1314 S 258th St, Waterloo, NE 68069-4814 | 2012-07-14 |
| 1417223363 | Rita Marie Menart | Counselor | 2101 Kimball Ave., Suite 138, Waterloo, IA 50702 | 2012-03-26 |
| 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.