Elevating Awareness Therapy Services, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

ELEVATING AWARENESS THERAPY SERVICES, LLC

Practice address

3641 Kimball Ave Ste 207
Waterloo, IA 50702-5757

Phone

(319) 318-0178

Fax

(319) 320-1121

NPI assigned

Dec 8, 2022

Organization subpart

No

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

Authorized official

Name

Nichole Clarke, M.A., LMFTNPI 1780278390

Title

Owner/LMFT

Phone

(319) 621-5300

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Nichole Ashley Clarke, TLMFT

  • Marriage & Family Therapist
  • Cedar Falls, IA
  • NPI 1780278390
  NPD Authorized official

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

{
    "created_epoch": "1670457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670457600000",
    "number": "1629789854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3641 KIMBALL AVE STE 207",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507025757",
            "telephone_number": "319-318-0178",
            "fax_number": "319-320-1121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3641 KIMBALL AVE STE 207",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507025757",
            "telephone_number": "319-318-0178",
            "fax_number": "319-320-1121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATING AWARENESS THERAPY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-08",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A",
        "authorized_official_last_name": "CLARKE",
        "authorized_official_first_name": "NICHOLE",
        "authorized_official_title_or_position": "OWNER/LMFT",
        "authorized_official_telephone_number": "319-621-5300",
        "authorized_official_credential": "M.A., LMFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jocelyn Ehret
• Daniel L Ekstrom, PSY.S.
• Uwem Ben Ekwo, MD
• Elevate Ccbhc LLC
• Elevate Housing Foundation
• Kelsey Elfritz
• Emily Elftman, PHARMD
• Elitecare Healthservices LLC
• Elitecare Medical Transport LLC
• Elitecare Medical Transportation

• 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 Dec 8, 2022; 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.