Affinity Family Therapy
Clinic/Center, Mental Health (Including Community Mental Health Center) in Waterloo, IA. Organization (NPI-2).
Details
- NPI
- 1306799861
- Entity type
- Organization (NPI-2)
- Legal business name
- Affinity Family Therapy
- Organization subpart
- No
- Enumeration date
- Feb 16, 2026
- Certification date
- Feb 16, 2026
- Last updated
- Feb 16, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
Practice location
128 Plaza CirWaterloo, IA 50701-5139
Phone 319-830-2463
Mailing address
128 Plaza CirWaterloo, IA 50701-5139
Phone 319-830-2463
Authorized official
Jennifer Michler
Owner
3198302463
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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