NPIMap

Organization Active NPI

Zion Integrated Behavioral Health Services Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Atlantic, IA
National Provider Identifier
1528288263
Registry record updated Apr 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
1267 Issued in IA
Legal business name
ZION INTEGRATED BEHAVIORAL HEALTH SERVICES INC.
Practice address
2307 Olive St
Atlantic, IA 50022-9768
Phone
(712) 243-5091
Fax
(712) 243-1337
NPI assigned
Apr 26, 2007
Last updated
Apr 15, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2024

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

Authorized official

Name
Laurie Jean Herrick Cooley
Title
Director
Phone
(712) 243-5091

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 1267 IA Primary

Addresses

Primary practice location

2307 Olive St
Atlantic, IA 50022-9768

Mailing address

PO Box 34
Atlantic, IA 50022-0034
Phone (712) 243-5091

Other identifiers 2

IdentifierTypeStateIssuer
0177394MedicaidIA
68236OtherIAWELLMARK BCBS

Other names 2

  • Alcohol & Drug Assistance Agency Former legal business name
  • Zion Recovery Services, Inc Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230317001679 IA Part B Supplier - Clinic/Group Practice 9931573748 Receives reassigned benefits from 8 practitioners
Practice locations: Atlantic, IA

National Provider Directory

National Provider Directory
Tax ID family
Zion Integrated Behavioral Health Services Inc12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Locations

309 S 7th St
Ste B
Adel, IA 50003
Phone (515) 993-1099

1800 N 16th St
Clarinda, IA 51632
Phone (712) 542-2161

1316 2nd St
Ste A
Perry, IA 50220

403 E Coolbaugh St
Red Oak, IA 51566
Phone (712) 623-4801

Practitioners & affiliated clinicians

Practitioners 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713139200000",
    "number": "1528288263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34",
            "city": "ATLANTIC",
            "state": "IA",
            "postal_code": "500220034",
            "telephone_number": "712-243-5091",
            "fax_number": "712-243-1337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2307 OLIVE ST",
            "city": "ATLANTIC",
            "state": "IA",
            "postal_code": "500229768",
            "telephone_number": "712-243-5091",
            "fax_number": "712-243-1337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZION INTEGRATED BEHAVIORAL HEALTH SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-15",
        "status": "A",
        "authorized_official_last_name": "HERRICK COOLEY",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "712-243-5091"
    },
    "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": "IA",
            "license": "1267",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0177394",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BCBS",
            "identifier": "68236",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alcohol & Drug Assistance Agency",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Zion Recovery Services, Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Atlantic, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2024; 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.