NPIMap

Organization Active NPI

Sky Ranch Behavioral Services

  • Addiction (Substance Use Disorder) Counselor
  • Sioux City, IA
National Provider Identifier
1316609720
Registry record updated Feb 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
SKY RANCH BEHAVIORAL SERVICES
Practice address
505 5TH St Ste 100
Sioux City, IA 51101-1510
Phone
(712) 277-2007
Fax
(712) 277-2189
NPI assigned
Oct 13, 2021
Last updated
Feb 29, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2024

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

Authorized official

Name
Anna Bertrand, TLMHCNPI 1972214856
Title
Executive Director
Phone
(712) 277-2007

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X Primary
Mental Health Counselor 101YM0800X
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

505 5TH St Ste 100
Sioux City, IA 51101-1510

Mailing address

505 5TH St Ste 100
Sioux City, IA 51101-1510
Phone (712) 277-2007

Other practice location 1

822 Douglas St Ste 209
Sioux City, IA 51101-1029
Phone (712) 277-2007

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
16D2344663Sky Ranch Behavioral Services505 5TH St Ste 100, Sioux City, IA 51101Certificate of waiverMay 26, 2028

National Provider Directory

National Provider Directory

Locations

505 5th St
Ste 100
Sioux City, IA 51101
Phone (712) 253-7100

822 Douglas St
Ste 209
Sioux City, IA 51101
Phone (712) 253-7100

Practitioners & affiliated clinicians

Practitioners 5

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": "1634083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709164800000",
    "number": "1316609720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 5TH ST STE 100",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511011510",
            "telephone_number": "712-277-2007",
            "fax_number": "712-277-2189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 5TH ST STE 100",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511011510",
            "telephone_number": "712-277-2007",
            "fax_number": "712-277-2189"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "822 Douglas St Ste 209",
            "address_purpose": "LOCATION",
            "city": "Sioux City",
            "state": "IA",
            "postal_code": "511011029",
            "country_code": "US",
            "telephone_number": "712-277-2007",
            "fax_number": "712-277-2189",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SKY RANCH BEHAVIORAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-13",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A",
        "authorized_official_last_name": "BERTRAND",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "712-277-2007",
        "authorized_official_credential": "TLMHC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Feb 29, 2024; 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.