Active NPI
New Vistas Counseling Services, LLC
- Mental Health Counselor
- Waterloo, IA
National Provider Identifier
1649099201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- NEW VISTAS COUNSELING SERVICES, LLC
- Practice address
- 857 Sunrise Blvd
Waterloo, IA 50701-4949 - Phone
- (319) 290-9031
- NPI assigned
- Oct 9, 2024
- Last updated
- Oct 9, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David K Moore, LMHC
- Title
- Member-Manager
- Phone
- (319) 214-3194
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
857 Sunrise Blvd
Waterloo, IA 50701-4949
Mailing address
857 Sunrise Blvd
Waterloo, IA 50701-4949
Phone (319) 290-9031
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Mental Health Counselor
- Waterloo, IA
- NPI 1053077966
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1728432000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1728432000000",
"number": "1649099201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "857 SUNRISE BLVD",
"city": "WATERLOO",
"state": "IA",
"postal_code": "507014949",
"telephone_number": "319-290-9031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "857 SUNRISE BLVD",
"city": "WATERLOO",
"state": "IA",
"postal_code": "507014949",
"telephone_number": "319-290-9031"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW VISTAS COUNSELING SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-10-09",
"last_updated": "2024-10-09",
"certification_date": "2024-10-09",
"status": "A",
"authorized_official_last_name": "MOORE",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "MEMBER-MANAGER",
"authorized_official_telephone_number": "319-214-3194",
"authorized_official_credential": "LMHC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"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 Oct 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.