Resilience Counseling Agency Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

RESILIENCE COUNSELING AGENCY INC.

Practice address

518 Western Ave
Waterloo, IA 50702-2835

Phone

(319) 493-0709

NPI assigned

Aug 20, 2018

Organization subpart

No

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

Authorized official

Name

Senora GilleyNPI 1548755143

Title

Owner

Phone

(319) 493-0709

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

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

• Senora Gilley

  • Counselor
  • Waterloo, IA
  • NPI 1548755143
  NPD (past) Authorized official

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

{
    "created_epoch": "1534723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559260800000",
    "number": "1780164616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "436 SHERMAN AVE",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507032031",
            "telephone_number": "319-493-0709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 WESTERN AVE",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507022835",
            "telephone_number": "319-493-0709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESILIENCE COUNSELING AGENCY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-20",
        "last_updated": "2019-05-31",
        "status": "A",
        "authorized_official_last_name": "GILLEY",
        "authorized_official_first_name": "SENORA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "319-493-0709"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1770774978",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1396114906",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2019; 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.