MINDY BLAIR (NPI# 1952773962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1952773962 |
Entity Type | Individual |
Full Name | MINDY BLAIR |
Practice Address |
1515 Avenue J Council Bluffs IA 51501-1170 |
Mailing Address |
5618 Oak St Omaha NE 68106-3023 |
Practice Telephone | 7124355350 |
Enumeration Date | 2015-10-29 |
Last Update Date | 2015-10-29 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101YM0800X |
Counselor Specialization: Mental Health |
10721 | NE | Behavioral Health & Social Service Providers |
Y | 101YM0800X |
Counselor Specialization: Mental Health |
077182 | IA | Behavioral Health & Social Service Providers |
Street Address |
1515 AVENUE J |
City | COUNCIL BLUFFS |
State | IA |
Zip Code | 51501-1170 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710136841 | Heartland Family Service | Counselor | 1515 Avenue J, Council Bluffs, IA 51501-1170 | 2008-09-12 |
1104372291 | Mitzi Jahn | Registered Nurse | 1515 Avenue J, Council Bluffs, IA 51501-1170 | 2016-08-29 |
1467824052 | Wendie Kadner | Counselor | 1515 Avenue J, Council Bluffs, IA 51501-1170 | 2015-10-22 |
1427475060 | Hayley Roth | Social Worker | 1515 Avenue J, Council Bluffs, IA 51501-1170 | 2014-03-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881204691 | Melissa Sue Sperry | Counselor | Melissa Sperry, 4036 Ramelle Dr, Council Bluffs, IA 51501 | 2020-08-06 |
1326689076 | Crc Recovery, Inc. | Clinic/Center | 1750 W Broadway, Council Bluffs, IA 51501 | 2019-10-03 |
1518451152 | Naomi Kigondu | Registered Nurse | 2323 W Broadway Ste 100, Council Bluffs, IA 51501 | 2018-06-18 |
1710400361 | Travis John Alger | Chiropractor | 3424 W Broadway, Council Bluffs, IA 51501 | 2017-07-25 |
1124495692 | Jillian Kahl | Speech-Language Pathologist | 1500 N 16th St, Council Bluffs, IA 51501 | 2015-08-31 |
1932584323 | Leigh Healey | Dietitian, Registered | 2323 West Broadway, Council Bluffs, IA 51501 | 2015-07-27 |
1942558523 | Karen Irene Godin | Registered Nurse | 1702 N 16th Street, Council Bluffs, IA 51501 | 2012-08-29 |
1063787505 | Rebecca F Aboe | Dietitian, Registered | 1702 North 16th St., Council Bluffs, IA 51501 | 2012-03-16 |
1972883122 | Sara Ann Lott | Occupational Therapist | 1310 N. 17th St., Council Bluffs, IA 51501 | 2011-08-19 |
1700042884 | Shopko Stores Operating Co LLC | Durable Medical Equipment & Medical Supplies | 3271 Marketplace Dr, Council Bluffs, IA 51501 | 2008-07-29 |
Find all providers in zip 51501 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881204691 | Melissa Sue Sperry | Counselor | Melissa Sperry, 4036 Ramelle Dr, Council Bluffs, IA 51501 | 2020-08-06 |
1790314243 | Your Self-care Therapy | Counselor | 300 W Broadway # 420, Council Bluffs, IA 51503-9019 | 2020-04-06 |
1417598301 | Katherine E Turner | Counselor | 2303 Butler Street, Council Bluffs, IA 51503 | 2019-10-02 |
1033769112 | Thomas Edward Koch | Counselor | 803 3rd Ave # Ia51501, Council Bluffs, IA 51501-4101 | 2019-09-19 |
1447742036 | Heartland Family Service | Counselor | 622 S 4th St, Council Bluffs, IA 51503-9005 | 2018-05-31 |
1336645449 | Rachel Newman | Counselor | 6th St and Ave E, Council Bluffs, IA 51502-2943 | 2018-04-05 |
1144776931 | Jeannie Hughes | Counselor | 2315 S 13th St, Council Bluffs, IA 51501-7414 | 2016-08-31 |
1316331879 | Angel M. Albertson | Counselor | 500 Willow Ave Ste 209, Council Bluffs, IA 51503-0827 | 2015-03-23 |
1639562069 | Heartland Family Service | Counselor | 705 N 16th St, Council Bluffs, IA 51501-0105 | 2015-03-10 |
1730599341 | Windy J Disalvo | Counselor | 719 Mill St., Council Bluffs, IA 51502-3008 | 2014-05-05 |
Find all providers in COUNCIL BLUFFS |
City | COUNCIL BLUFFS |
Zip Code | 51501 |
Please comment or provide details below to improve the information on MINDY BLAIR.
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.