NPIMap

Organization Active NPI

Family Access Center, Inc.

  • Community/Behavioral Health Agency
  • Sioux City, IA
National Provider Identifier
1033280326
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
FAMILY ACCESS CENTER, INC.
Practice address
1221 Pierce St
Sioux City, IA 51105-1418
Phone
(712) 255-0204
Fax
(712) 255-1120
NPI assigned
Nov 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

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

Authorized official

Name
Alisha M Rinker
Title
Finance Manager
Phone
(712) 255-0204

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X
Peer SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 175T00000X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1221 Pierce St
Sioux City, IA 51105-1418

Mailing address

1221 Pierce St
Sioux City, IA 51105-1418
Phone (712) 255-0204

Other practice location 1

1812 24th Ave W
Spencer, IA 51301-2661
Phone (712) 580-3030

Other practice location 2

300 W Broadway Ste 29
Council Bluffs, IA 51503-9030
Phone (712) 328-3700

Other identifiers 2

IdentifierTypeStateIssuer
1014019MedicaidIA
100264764-00MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181105001409 IA Part B Supplier - Clinic/Group Practice 2567715774 Receives reassigned benefits from 8 practitioners
Practice locations: Council Bluffs, IA; Sioux City, IA

National Provider Directory

National Provider Directory
Tax ID family
Family Access Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726099200000",
    "number": "1033280326",
    "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": "712-255-0204",
            "fax_number": "712-255-1120"
        },
        {
            "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": "712-255-0204",
            "fax_number": "712-255-1120"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1812 24th Ave W",
            "address_purpose": "LOCATION",
            "city": "Spencer",
            "state": "IA",
            "postal_code": "513012661",
            "country_code": "US",
            "telephone_number": "712-580-3030",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 W Broadway Ste 29",
            "address_purpose": "LOCATION",
            "city": "Council Bluffs",
            "state": "IA",
            "postal_code": "515039030",
            "country_code": "US",
            "telephone_number": "712-328-3700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FAMILY ACCESS CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-10",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A",
        "authorized_official_last_name": "RINKER",
        "authorized_official_first_name": "ALISHA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "FINANCE MANAGER",
        "authorized_official_telephone_number": "712-255-0204"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1014019",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100264764-00",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.