Counseling and Therapy Associates,LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

COUNSELING AND THERAPY ASSOCIATES,LLC

Practice address

3120 Kimball Ave
Suite B & C
Waterloo, IA 50702-5272

Phone

(319) 236-7701

Fax

(319) 226-3263

NPI assigned

Jan 24, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Tracy Schulz, LISW

Title

Executive Director

Phone

(319) 236-7701

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346395027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3120 KIMBALL AVE",
            "address_2": "SUITE B & C",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507025272",
            "telephone_number": "319-236-7701",
            "fax_number": "319-226-3263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3120 KIMBALL AVE",
            "address_2": "SUITE B & C",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507025272",
            "telephone_number": "319-236-7701",
            "fax_number": "319-226-3263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNSELING AND THERAPY ASSOCIATES,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCHULZ",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "319-236-7701",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0177394",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chuck Corwin
• Maryjane Cose, ARNP
• Francis Peter Cote, L.I.S.W.
• Chandler Coulander, LMSW
• Bria Coulson, CADC
• County of Black Hawk
• County of Black Hawk
• County of Black Hawk
• County of Black Hawk
• County of Blackhawk

• Community/Behavioral Health Agency in Waterloo, IA
• Providers in Waterloo, IA by specialty
• Community/Behavioral Health Agency in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.