Individual provider Active NPI

Christopher S Bates

  • Addiction (Substance Use Disorder) Counselor
  • Marshalltown, IA
National Provider Identifier
1407419385
Registry record updated Apr 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
094502 Issued in IA
Practice address
9 N 4TH Ave
Marshalltown, IA 50158-1836
Phone
(641) 752-5421
Fax
(641) 752-7211
NPI assigned
Apr 17, 2019
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
094502IAMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Prairie Ridge Integrated Behavioral Healthcare Past Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 094502 IA Primary

Addresses

NPPES NPI Registry

Primary practice location

9 N 4TH Ave
Marshalltown, IA 50158-1836

Mailing address

PO Box 1453
Marshalltown, IA 50158-1453
Phone (641) 752-5421

Other practice location 1

107 E High St
Toledo, IA 52342-1509
Phone (641) 752-5421

Other practice location 2

2413 Edgington Ave
Eldora, IA 50627-1541
Phone (641) 752-5421

Other practice location 3

611 4th Ave
Grinnell, IA 50112-1920
Phone (641) 752-5421

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 17, 2019.

{
    "created_epoch": "1555459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555459200000",
    "number": "1407419385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1453",
            "city": "MARSHALLTOWN",
            "state": "IA",
            "postal_code": "501581453",
            "telephone_number": "641-752-5421",
            "fax_number": "641-752-7211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 N 4TH AVE",
            "city": "MARSHALLTOWN",
            "state": "IA",
            "postal_code": "501581836",
            "telephone_number": "641-752-5421",
            "fax_number": "641-752-7211"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "107 E High St",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "IA",
            "postal_code": "523421509",
            "country_code": "US",
            "telephone_number": "641-752-5421",
            "fax_number": "641-752-7211",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2413 Edgington Ave",
            "address_purpose": "LOCATION",
            "city": "Eldora",
            "state": "IA",
            "postal_code": "506271541",
            "country_code": "US",
            "telephone_number": "641-752-5421",
            "fax_number": "641-752-7211",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "611 4th Ave",
            "address_purpose": "LOCATION",
            "city": "Grinnell",
            "state": "IA",
            "postal_code": "501121920",
            "country_code": "US",
            "telephone_number": "641-752-5421",
            "fax_number": "641-752-7211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BATES",
        "first_name": "CHRISTOPHER",
        "middle_name": "S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-17",
        "last_updated": "2019-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IA",
            "license": "094502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marshalltown, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2019; 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.