ELEVATE CCBHC LLC
NPI 1275141350
Clinic/Center - Mental Health (Including Community Mental Health Center) in Waterloo, IA
About Elevate Ccbhc Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELEVATE CCBHC LLC (NPI 1275141350) is a healthcare organization registered as a mental health (including community mental health center) in Waterloo, Iowa and active in the NPI registry since July 2020. The organization holds a CLIA Waiver certificate valid through September 27, 2026 and lists Ilya Shulman, Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 16D2194115
Elevate Ccbhc · Waterloo, IAOther Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WATERLOO, IA 50703
WATERLOO, IA 50703
WATERLOO, IA 50703
WATERLOO, IA 50703
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Elevate Ccbhc LLC's NPI number?
The NPI number for Elevate Ccbhc LLC is 1275141350. It was assigned to this organization in the NPPES registry on July 15, 2020.
Where is Elevate Ccbhc LLC located?
Elevate Ccbhc LLC is located at 1410 W Dunkerton Rd, Waterloo, IA 50703. The listed phone number is (319) 423-9738.
What is Elevate Ccbhc LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.
Does Elevate Ccbhc LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 16D2194115) is associated with this NPI, valid through September 27, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Elevate Ccbhc LLC was last updated on July 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Elevate Ccbhc Llc · NPI 1275141350
Mental Health (Including Community Mental Health Center) organization in Waterloo, Iowa. Organization record, active in the CMS NPPES registry since July 15, 2020.
## Identity
- **NPI:** 1275141350 (Entity type: Organization)
- **Enumerated:** July 15, 2020
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Organization subpart:** No
- **Authorized official:** Ilya Shulman, MANAGER
## Practice location
- **Address:** 1410 W DUNKERTON RD, Waterloo, IA 50703-9648
- **Phone:** (319) 423-9738
## Record status
- **NPPES last updated:** July 15, 2020
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1275141350) · Data from the CMS NPPES public registry.