Active NPI
Robert Alfred Wikstrom
- Addiction (Substance Use Disorder) Counselor
- Sioux City, IA
National Provider Identifier
1043127459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- T26056
- Practice address
- 1115 5TH St
Sioux City, IA 51101-1905 - Phone
- (712) 255-0890
- NPI assigned
- Aug 24, 2026
- Last updated
- Aug 24, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | T26056 | IA | Primary |
Addresses
Primary practice location
1115 5TH St
Sioux City, IA 51101-1905
Mailing address
6600 6TH Ave
Sioux City, IA 51106-9632
Phone (712) 389-2127
Other names 1
- Bobby Wikstrom
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Wellness Associates, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Sioux City, IA
- NPI 1518337054
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787529600000",
"number": "1043127459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6600 6TH AVE",
"city": "SIOUX CITY",
"state": "IA",
"postal_code": "511069632",
"telephone_number": "712-389-2127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1115 5TH ST",
"city": "SIOUX CITY",
"state": "IA",
"postal_code": "511011905",
"telephone_number": "712-255-0890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIKSTROM",
"first_name": "ROBERT",
"middle_name": "ALFRED",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-08-24",
"last_updated": "2026-08-24",
"certification_date": "2026-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "IA",
"license": "T26056",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BOBBY",
"last_name": "WIKSTROM",
"code": "2",
"type": "Professional Name"
}
]
}
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 Aug 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.