AUTHENTIC FREEDOM COUNSELING CENTER (NPI# 1952675787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952675787 |
| Entity Type | Organization |
| Organization Name | AUTHENTIC FREEDOM COUNSELING CENTER |
| Practice Address |
4211 Grand Ave # 12 Des Moines IA 50312-2423 |
| Mailing Address |
3775 Ep True Pkwy # 119 W Des Moines IA 50265-7696 |
| Practice Telephone | 5152770814 |
| Mailing Telephone | 5152770814 |
| Enumeration Date | 2012-02-24 |
| Last Update Date | 2012-02-24 |
| Authorized Official Name | MR. MARK JOSEPH HILLENBRAND (PRESIDENT) |
| Authorized Official Telephone | 5152770814 |
| Authorized Official Credential | LISW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 06724 | IA | Agencies |
| Street Address |
4211 GRAND AVE # 12 |
| City | DES MOINES |
| State | IA |
| Zip Code | 50312-2423 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942837976 | Devon Anderson | Student in an Organized Health Care Education/Training Program | Des Moines University Pa Program, 3200 Grand, Des Moines, IA 50312 | 2020-03-27 |
| 1578190583 | Christian Ostrander | Student in an Organized Health Care Education/Training Program | Des Moines University-pa Program 3200 Grand Avenue, Des Moines, IA 50312 | 2020-03-27 |
| 1194209312 | Margaret Dedecker | Speech-Language Pathologist | 644 24th St., Des Moines, IA 50312 | 2018-09-24 |
| 1942702410 | Nelson-kirby Therapy & Consulting Services, LLC | Marriage & Family Therapist | 3900 Ingersoll Avenue Suite 108, Des Moines, IA 50312 | 2018-03-01 |
| 1851839864 | Lawrence Scanlon | Counselor | 412 42nd St, Des Moines, IA 50312 | 2017-02-09 |
| 1104275122 | Melissa Joshel | Social Worker | 2116 Grand Ave Ste 2, Des Moines, IA 50312 | 2016-06-09 |
| 1629435813 | Abby Michele Miller | Acupuncturist | 531 40th Street, Des Moines, IA 50312 | 2016-01-20 |
| 1326410689 | Dawn Theresa Corriere | Advanced Practice Midwife | 3714 Ingersoll Ave, Des Moines, IA 50312 | 2015-10-27 |
| 1336558154 | Paul Johnston | Counselor | 600 42nd Street, Des Moines, IA 50312 | 2014-08-06 |
| 1083847214 | Mark David Ravreby | Internal Medicine | 3663 Grand Ave, #204, Des Moines, IA 50312 | 2009-09-04 |
| Find all providers in zip 50312 | ||||
| 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 |
| 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 |
| 1295995397 | A New Beginning Mentor, Counseling, and Resource Center | Community/Behavioral Health | 3810 E 29th St, Upper Level, Des Moines, IA 50317-4232 | 2008-06-11 |
| Find all providers in DES MOINES | ||||
| City | DES MOINES |
| Zip Code | 50312 |
Please comment or provide details below to improve the information on AUTHENTIC FREEDOM COUNSELING CENTER.
| 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.