Organization Active NPI

Affinity Family Therapy

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Waterloo, IA
National Provider Identifier
1306799861
Registry record updated Feb 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 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
Last updated
Feb 16, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2026

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

Authorized official

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

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

Specialties & licenses 1

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

Addresses

Primary practice location

128 Plaza Cir
Waterloo, IA 50701-5139

Mailing address

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

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

National Provider Directory

Locations

128 Plaza Cir
Waterloo, IA 50701
Phone (319) 231-4202

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1771200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771200000000",
    "number": "1306799861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 PLAZA CIR",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507015139",
            "telephone_number": "319-830-2463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 PLAZA CIR",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507015139",
            "telephone_number": "319-830-2463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFINITY FAMILY THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-16",
        "last_updated": "2026-02-16",
        "certification_date": "2026-02-16",
        "status": "A",
        "authorized_official_last_name": "MICHLER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "319-830-2463"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Feb 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.