Quakerdale Family Services

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

Legal business name

QUAKERDALE FAMILY SERVICES

Doing business as

Quakerdale

Practice address

2932 240TH St
Marshalltown, IA 50158-8984

Phone

(641) 752-3912

Fax

(641) 752-3639

NPI assigned

Mar 13, 2007

Organization subpart

No

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

Authorized official

Name

Beth Ann AndrewNPI 1891061826

Title

Executive Director

Phone

(641) 752-3912

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• Quakerdale Doing business as

Locations

Practitioners 6

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

• Beth Ann Andrew, LISW

  • Clinical Social Worker
  • Marshalltown, IA
  • NPI 1891061826
  NPD Authorized official
• Ronald Merle Eberline I

  • Clinical Social Worker
  • Marshalltown, IA
  • NPI 1780182113
  NPD (past)
• Darlene Kay Fitkin, LMSW

  • Mental Health Counselor
  • Marshalltown, IA
  • NPI 1811630312
  NPD (past)
• Ryan Keller, MFT

  • Marriage & Family Therapist
  • Marshalltown, IA
  • NPI 1710485057
  NPD (past)
• Larissa Elizabeth McClenathan, LMSW

  • Clinical Social Worker
  • Marshalltown, IA
  • NPI 1790617421
  NPD (past)
• Tyra Wanatee-Flores, LMSW

  • Mental Health Counselor
  • Marshalltown, IA
  • NPI 1275391138
  NPD (past)

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649203200000",
    "number": "1689707622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2932 240TH ST",
            "city": "MARSHALLTOWN",
            "state": "IA",
            "postal_code": "501588984",
            "telephone_number": "641-752-3912",
            "fax_number": "641-752-3639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2932 240TH ST",
            "city": "MARSHALLTOWN",
            "state": "IA",
            "postal_code": "501588984",
            "telephone_number": "641-752-3912",
            "fax_number": "641-752-3639"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "PO Box 8",
            "address_purpose": "LOCATION",
            "city": "New Providence",
            "state": "IA",
            "postal_code": "502060008",
            "country_code": "US",
            "telephone_number": "641-752-3912",
            "fax_number": "641-752-3639",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "140 S Barclay St",
            "address_purpose": "LOCATION",
            "city": "Waterloo",
            "state": "IA",
            "postal_code": "507033906",
            "country_code": "US",
            "telephone_number": "641-752-3912",
            "fax_number": "641-752-3639",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1500 W 3rd St",
            "address_purpose": "LOCATION",
            "city": "Manning",
            "state": "IA",
            "postal_code": "514551810",
            "country_code": "US",
            "telephone_number": "641-752-3912",
            "fax_number": "641-752-3639",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "QUAKERDALE FAMILY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-06",
        "status": "A",
        "authorized_official_last_name": "ANDREW",
        "authorized_official_first_name": "BETH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "641-752-3912"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1102145",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Quakerdale",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Quakerdale",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bradley D. Price, D.D.S.
• Micaela Price
• Primary Health Care, Inc. (Primary Health Care-Marshalltown Dental Clinic)
• Primary Health Care, Inc. (Primary Health Care-Marshalltown Specialty Health)
• Primary Health Care, Inc. (Primary Health Care-Marshalltown Clinic)
• Jaren Ross Quigle
• Melissa Michelle Rachuy, ARNP
• Cynthia Jane Ragland, OD
• Scott Ramsey-Smith, L.M.H.C.
• Hope Randles, COTA/L

• Voluntary or Charitable Agency in Marshalltown, IA
• Providers in Marshalltown, IA by specialty
• Voluntary or Charitable Agency in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.