NPIMap

Organization Active NPI

New Directions Counseling Services, PLLC.

  • Community/Behavioral Health Agency
  • Waterloo, IA
National Provider Identifier
1255569331
Registry record updated Jan 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
00399 Issued in IA
Legal business name
NEW DIRECTIONS COUNSELING SERVICES, PLLC.
Practice address
1310 Solar Drive
Waterloo, IA 50701
Phone
(319) 232-2086
Fax
(319) 232-6846
NPI assigned
Jun 26, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Warren H Phillips III, PH.D.
Title
President
Phone
(515) 233-1122

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 960 IA
Community/Behavioral Health Agency 251S00000X 00399 IA Primary

Addresses

Primary practice location

1310 Solar Drive
Waterloo, IA 50701

Mailing address

1310 Solar Drive
Waterloo, IA 50701
Phone (319) 232-2086

Other identifiers 1

IdentifierTypeStateIssuer
257058000MedicaidIA

National Provider Directory

National Provider Directory

Locations

3136 Brockway Rd
Ste B
Waterloo, IA 50701
Phone (319) 232-2086

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 17

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1245974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674432000000",
    "number": "1255569331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 SOLAR DRIVE",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "50701",
            "telephone_number": "319-232-2086",
            "fax_number": "515-348-8260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 SOLAR DRIVE",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "50701",
            "telephone_number": "319-232-2086",
            "fax_number": "319-232-6846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW DIRECTIONS COUNSELING SERVICES, PLLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-26",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "WARREN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "515-233-1122",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IA",
            "license": "960",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IA",
            "license": "00399",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "257058000",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterloo, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.