Individual provider Active NPI

Joe C. Trumbley, CADC

  • Addiction (Substance Use Disorder) Counselor
  • Waterloo, IA
National Provider Identifier
1770174492
Registry record updated Jan 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
T20022 Issued in IA
Practice address
604 Lafayette St.
Second Floor
Waterloo, IA 50703-4708
Phone
(833) 370-0719
Fax
(515) 220-2272
NPI assigned
Jan 27, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X T20022 IA Primary

Addresses

Primary practice location

604 Lafayette St.
Second Floor
Waterloo, IA 50703-4708

Mailing address

604 Lafayette St FL 2
Waterloo, IA 50703-4708
Phone (833) 370-0719

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jtrumbley@elevateccbhc.org Direct Elevate CCBHC LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
T20022IAMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Elevate Housing Foundation PastSince Dec 17, 2023 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1611705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611705600000",
    "number": "1770174492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 LAFAYETTE ST FL 2",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507034708",
            "telephone_number": "833-370-0719",
            "fax_number": "515-220-2272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 LAFAYETTE ST.",
            "address_2": "SECOND FLOOR",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507034708",
            "telephone_number": "833-370-0719",
            "fax_number": "515-220-2272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUMBLEY",
        "first_name": "JOE",
        "middle_name": "C.",
        "name_prefix": "Mr.",
        "credential": "CADC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-27",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IA",
            "license": "T20022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jtrumbley@elevateccbhc.org",
            "affiliation": "Y",
            "affiliationName": "Elevate CCBHC LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "work email",
            "address_1": "604 Lafayette St.",
            "address_2": "Second Floor",
            "city": "Waterloo",
            "state": "IA",
            "country_code": "US",
            "postal_code": "507034708",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jan 27, 2021; 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.