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
- 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.
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.