Southwest Iowa Mental Health Center

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

SOUTHWEST IOWA MENTAL HEALTH CENTER

Practice address

2307 Olive St
Atlantic, IA 50022-9768

Phone

(712) 243-2606

Fax

(712) 243-2688

NPI assigned

Feb 3, 2006

Last updated

Dec 20, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Laurie Cooley

Title

Executive Director

Phone

(712) 243-2606

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Angela Hawkins, LHMC

  • Mental Health Counselor
  • Atlantic, IA
  • NPI 1083304018
  NPD
• Louis P Gerbino, M.D.

  • Psychiatry Physician
  • Atlantic, IA
  • NPI 1225128127
  NPD (past)
• Krishna Poojappa Murthy, MD

  • Psychiatry Physician
  • Atlantic, IA
  • NPI 1366413767
  NPD (past)
• Mark Edward Kremen, MD

  • Psychiatry Physician
  • Omaha, NE
  • NPI 1922042456
  NPD (past)

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

{
    "created_epoch": "1138924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671494400000",
    "number": "1033181086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34",
            "city": "ATLANTIC",
            "state": "IA",
            "postal_code": "500220034",
            "telephone_number": "712-243-2606",
            "fax_number": "712-243-2688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2307 OLIVE ST",
            "city": "ATLANTIC",
            "state": "IA",
            "postal_code": "500229768",
            "telephone_number": "712-243-2606",
            "fax_number": "712-243-2688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST IOWA MENTAL HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-03",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A",
        "authorized_official_last_name": "COOLEY",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "712-243-2606",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF IA",
            "identifier": "D0893",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0008938",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda J Smith, TCADC
• Deborra Marie Smith, LISW
• Elizabeth Smith
• Jacalyn Sue Smith
• Ruth Smith, RPT
• Southwest Iowa Planning Council
• Douglas John Spicer, DDS
• Lois Jean Spicer
• Rebecca R Sponsler, MS CEAP LMHC
• Crystal Starlin, PHARMD

• Mental Health Clinic/Center (Including Community Mental Health Center) in Atlantic, IA
• Providers in Atlantic, IA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2022; 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.