Individual provider Active NPI

Sarah Panther

  • Addiction (Substance Use Disorder) Counselor
  • Waterloo, IA
National Provider Identifier
1841612264
Registry record updated Jan 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
10189 Issued in IA
Practice address
1237 Eleanor Dr
Waterloo, IA 50701-3420
Phone
(319) 404-2147
NPI assigned
Jan 21, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2014

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 10189 IA Primary

Addresses

Primary practice location

1237 Eleanor Dr
Waterloo, IA 50701-3420

Mailing address

1237 Eleanor Dr
Waterloo, IA 50701-3420
Phone (319) 404-2147

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190923001672 IA Practitioner - Clinical Social Worker 8729318498 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pathways Behavioral Services IncGroup PAC ID 3779582796, 16 clinicians

Practice addresses (Care Compare)

111 10TH St SW
Pathways Behavioral Services
Waverly, IA 50677-2925
Phone (319) 235-6571

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10189IAMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Pathways Behavioral Services Inc CurrentSince Aug 7, 2019 Accepting new patients
Pathways Behavioral Services Inc Addiction (Substance Use Disorder) CurrentSince Aug 7, 2019 Accepting new patients
Pathways Behavioral Services, Inc. Past Accepting new patients

Locations

602 S Washington Ave
Fredericksburg, IA 50630
Phone (319) 235-6571

1827 1st St W
Ste C
Independence, IA 50644

2275 S Linn Ave
New Hampton, IA 50659
Phone (641) 394-2391

3362 University Ave
Waterloo, IA 50701
Phone (319) 235-6571

607 Sycamore St
Ste 300
Waterloo, IA 50703
Phone (319) 232-5363

111 10th St SW
Waverly, IA 50677
Phone (319) 235-6571

124 2nd St NE
Waverly, IA 50677
Phone (319) 344-4994

Organizations & group practices 3

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": "1390262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390262400000",
    "number": "1841612264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1237 ELEANOR DR",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507013420",
            "telephone_number": "319-404-2147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1237 ELEANOR DR",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507013420",
            "telephone_number": "319-404-2147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANTHER",
        "first_name": "SARAH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-21",
        "last_updated": "2014-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IA",
            "license": "10189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterloo, IA

Sources for this page

Verify at the official NPI Registry.