NPIMap

Organization Active NPI

Awakening Substance Abuse & Behavioral Health

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Iowa City, IA
National Provider Identifier
1164032934
Registry record updated Aug 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
AWAKENING SUBSTANCE ABUSE & BEHAVIORAL HEALTH
Practice address
2030 Keokuk St
Iowa City, IA 52240-4456
Phone
(319) 351-9760
NPI assigned
Aug 5, 2020
Last updated
Aug 5, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2020

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

Authorized official

Name
Mr. Amehed M Shek Jr., LISW, CADCNPI 1932578176
Title
Executive Director
Phone
(319) 351-9760

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

2030 Keokuk St
Iowa City, IA 52240-4456

Mailing address

2030 Keokuk St
Iowa City, IA 52240-4456
Phone (319) 351-9760

National Provider Directory

National Provider Directory

Locations

2030 Keokuk St
Iowa City, IA 52240
Phone (319) 351-9760

Practitioners & affiliated clinicians

Practitioners 6

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": "1596585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596585600000",
    "number": "1164032934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2030 KEOKUK ST",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522404456",
            "telephone_number": "319-351-9760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 KEOKUK ST",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522404456",
            "telephone_number": "319-351-9760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AWAKENING SUBSTANCE ABUSE & BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-05",
        "last_updated": "2020-08-05",
        "certification_date": "2020-08-05",
        "status": "A",
        "authorized_official_last_name": "SHEK",
        "authorized_official_first_name": "AMEHED",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "319-351-9760",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "LISW, CADC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 5, 2020; 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.