Organization Active NPI

Reach for Your Potential, Inc

  • Developmentally Disabled Services Day Training Agency
  • Iowa City, IA
National Provider Identifier
1063569762
Registry record updated Jan 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
REACH FOR YOUR POTENTIAL, INC
Practice address
1705 S 1St Ave
Suite I
Iowa City, IA 52240-6006
Phone
(319) 354-2983
Fax
(319) 354-3221
NPI assigned
Jan 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2023

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

Authorized official

Name
Staci Humiston
Title
Executive Director
Phone
(319) 354-2983

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

1705 S 1St Ave
Suite I
Iowa City, IA 52240-6006

Mailing address

1705 S 1St Ave
Suite I
Iowa City, IA 52240-6006
Phone (319) 354-2983

Other identifiers 1

IdentifierTypeStateIssuer
0100727MedicaidIA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
16D1094300Reach for Your Potential, Inc1705 S 1St Avenue, Suite I, Iowa City, IA 52240Certificate of waiverJan 14, 2027

National Provider Directory

National Provider Directory

Locations

1705 S 1st Ave
Ste I
Iowa City, IA 52240
Phone (319) 354-2983

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672963200000",
    "number": "1063569762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 S 1ST AVE",
            "address_2": "SUITE I",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522406006",
            "telephone_number": "319-354-2983",
            "fax_number": "319-354-3221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 S 1ST AVE",
            "address_2": "SUITE I",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522406006",
            "telephone_number": "319-354-2983",
            "fax_number": "319-354-3221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REACH FOR YOUR POTENTIAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2023-01-06",
        "certification_date": "2023-01-06",
        "status": "A",
        "authorized_official_last_name": "HUMISTON",
        "authorized_official_first_name": "STACI",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "319-354-2983"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0100727",
            "state": "IA"
        }
    ],
    "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 Jan 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.