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Affinity Family Therapy

Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Waterloo, IA

NPI 1306799861 · NPPES record last updated Feb 16, 2026

Key facts

NPI
1306799861
Entity type
Organization (NPI type 2)
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Legal business name
AFFINITY FAMILY THERAPY
Practice address
128 Plaza Cir
Waterloo, IA 50701-5139
Phone
(319) 830-2463
NPI assigned
Feb 16, 2026
Organization subpart
No

Authorized official

Name
Jennifer Michler NPI 1285001792
Title
Owner
Phone
(319) 830-2463

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in IA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20260227001113 IA Part B Supplier - Clinic/Group Practice 5597246496 Receives reassigned benefits from 1 practitioner
Practice locations: Waterloo, IA

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Yes

Addresses

Primary practice location

128 Plaza Cir
Waterloo, IA 50701-5139

Mailing address

128 Plaza Cir
Waterloo, IA 50701-5139
Phone (319) 830-2463

Other providers in Waterloo, IA

All providers in Waterloo, IA · Mental Health Clinic/Center (Including Community Mental Health Center) in Iowa

Sources for this page

Verify at the official NPI Registry.