Integrated Counseling Practice

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

1284 Issued in IA

Legal business name

INTEGRATED COUNSELING PRACTICE

Practice address

1221 Pierce St
Sioux City, IA 51105-1418

Phone

(712) 255-0232

Fax

(712) 255-0354

NPI assigned

Jun 26, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Pamela Ingram, LMSW

Title

Executive Director

Phone

(712) 255-0232

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Ingram Counseling Practice Former legal business name

Tax ID family

Ingram Counseling Practice2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Integrated Counseling Practice

  • Community/Behavioral Health Agency
  • Sioux City, IA
  • NPI 1700174612
  NPD tax ID

Locations

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338336000000",
    "number": "1023214863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 PIERCE ST",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511051418",
            "telephone_number": "712-255-0232",
            "fax_number": "712-255-0354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 PIERCE ST",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511051418",
            "telephone_number": "712-255-0232",
            "fax_number": "712-255-0354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED COUNSELING PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-26",
        "last_updated": "2012-05-30",
        "status": "A",
        "authorized_official_last_name": "INGRAM",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "712-255-0232",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IA",
            "license": "1284",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0791665",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RTSS CONTRACT NUMBER",
            "identifier": "29-97-059",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ingram Counseling Practice",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Community/Behavioral Health Agency in Sioux City, IA
• Providers in Sioux City, IA by specialty
• Community/Behavioral Health Agency in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2012; 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.