NPIMap

Organization Active NPI

Stokes and Associates, LLC

  • Clinical Psychologist
  • Sioux City, IA
National Provider Identifier
1104170596
Registry record updated Sep 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
01004 Issued in IA
Legal business name
STOKES AND ASSOCIATES, LLC
Practice address
600 4TH St. Suite 303
Sioux City, IA 51101-1747
Phone
(712) 222-1432
Fax
(712) 222-1433
NPI assigned
Nov 6, 2012
Last updated
Sep 25, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2023

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

Authorized official

Name
Dr. Angela A Stokes, PHD
Title
President Clinical Psychologist
Phone
(712) 574-9220

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Addiction (Substance Use Disorder) Psychologist 103TA0400X 12R099 IA
Clinical Psychologist 103TC0700X 01004 IA Primary
Clinical Psychologist 103TC0700X 00475 IA

Addresses

Primary practice location

600 4TH St. Suite 303
Sioux City, IA 51101-1747

Mailing address

600 4TH St. Suite 303
Sioux City, IA 51101-1747
Phone (712) 222-1432

Other identifiers 5

IdentifierTypeStateIssuer
10025237200MedicaidNE
1003826959MedicaidIA
12161205OtherIACAQH
6552520MedicaidSD
0109654MedicaidIA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130520000215 IA Part B Supplier - Clinic/Group Practice 8325285976 Receives reassigned benefits from 1 practitioner
Practice locations: Sioux City, IA

National Provider Directory

National Provider Directory

Locations

401 Douglas St
Ste 215
Sioux City, IA 51101
Phone (712) 222-1432

701 Douglas St
Sioux City, IA 51101
Phone (712) 222-1432

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1352160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695600000000",
    "number": "1104170596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 4TH ST. SUITE 303",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511011747",
            "telephone_number": "712-222-1432",
            "fax_number": "712-222-1433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 4TH ST. SUITE 303",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511011747",
            "telephone_number": "712-222-1432",
            "fax_number": "712-222-1433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STOKES AND ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-06",
        "last_updated": "2023-09-25",
        "status": "A",
        "authorized_official_last_name": "STOKES",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "712-574-9220",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "IA",
            "license": "12R099",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IA",
            "license": "01004",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IA",
            "license": "00475",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025237200",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1003826959",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12161205",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6552520",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0109654",
            "state": "IA"
        }
    ],
    "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 25, 2023; 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.