Active NPI
Iowa City Recovery Center, LLC
- Addiction (Substance Use Disorder) Counselor
- Iowa City, IA
National Provider Identifier
1033029376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Legal business name
- IOWA CITY RECOVERY CENTER, LLC
- Practice address
- 475 W Hwy 1
Iowa City, IA 52240 - Phone
- (608) 438-3131
- NPI assigned
- Sep 9, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jack McKenzie
- Title
- Owner
- Phone
- (608) 438-3131
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Primary | ||
| Clinical Social Worker | 1041C0700X |
Addresses
Primary practice location
475 W Hwy 1
Iowa City, IA 52240
Mailing address
301 S Livingston St Ste 200
Madison, WI 53703-5401
Phone (608) 438-3131
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788912000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788912000000",
"number": "1033029376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 S LIVINGSTON ST STE 200",
"city": "MADISON",
"state": "WI",
"postal_code": "537035401",
"telephone_number": "608-438-3131",
"fax_number": "608-284-7426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "475 W HWY 1",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "52240",
"telephone_number": "608-438-3131"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IOWA CITY RECOVERY CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-09",
"last_updated": "2026-09-09",
"certification_date": "2026-09-08",
"status": "A",
"authorized_official_last_name": "MCKENZIE",
"authorized_official_first_name": "JACK",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "608-438-3131"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Iowa City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.