NPIMap

Organization Active NPI

Families First Counseling Services of Iowa, L.L.C.

  • Community/Behavioral Health Agency
  • Waterloo, IA
National Provider Identifier
1497819114
Registry record updated Sep 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
29-07-021 Issued in IA
Legal business name
FAMILIES FIRST COUNSELING SERVICES OF IOWA, L.L.C.
Practice address
111 Plaza Cir
Waterloo, IA 50701-5138
Phone
(319) 433-0395
Fax
(319) 433-3870
NPI assigned
Dec 20, 2006
Last updated
Sep 8, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2023

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

Authorized official

Name
Katrina Henniges
Title
Managing Partner
Phone
(319) 433-0395

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Professional Counselor 101YP2500X NU
Community/Behavioral Health Agency 251S00000X 29-07-021 IA Primary

Addresses

Primary practice location

111 Plaza Cir
Waterloo, IA 50701-5138

Mailing address

111 Plaza Cir
Waterloo, IA 50701-5138
Phone (319) 433-0395

Other practice location 1

501 Sycamore St
Ste. 738
Waterloo, IA 50703-4644
Phone (319) 433-0395

Other identifiers 1

IdentifierTypeStateIssuer
809880000MedicaidIA

National Provider Directory

National Provider Directory

Locations

111 Plaza Cir
Waterloo, IA 50701
Phone (319) 433-0395

501 Sycamore St
Ste 738
Waterloo, IA 50703
Phone (319) 433-0395

Practitioners & affiliated clinicians

Practitioners 8

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": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694131200000",
    "number": "1497819114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 PLAZA CIR",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507015138",
            "telephone_number": "319-433-0395",
            "fax_number": "319-433-3870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 PLAZA CIR",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507015138",
            "telephone_number": "319-433-0395",
            "fax_number": "319-433-3870"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 Sycamore St",
            "address_2": "Ste. 738",
            "address_purpose": "LOCATION",
            "city": "Waterloo",
            "state": "IA",
            "postal_code": "507034644",
            "country_code": "US",
            "telephone_number": "319-433-0395",
            "fax_number": "319-433-3870",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FAMILIES FIRST COUNSELING SERVICES OF IOWA, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-08",
        "status": "A",
        "authorized_official_last_name": "HENNIGES",
        "authorized_official_first_name": "KATRINA",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "319-433-0395"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IA",
            "license": "29-07-021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "809880000",
            "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 Sep 8, 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.