Organization Active NPI

Garlick Counseling Services

  • Addiction (Substance Use Disorder) Counselor
  • Sioux City, IA
National Provider Identifier
1528505112
Registry record updated Jan 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
001046 Issued in IA
Legal business name
GARLICK COUNSELING SERVICES
Practice address
2912 Hamilton Blvd
Sioux City, IA 51104-2410
Phone
(712) 522-4590
Fax
(712) 522-4367
NPI assigned
Jan 20, 2017
Last updated
Jan 20, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2017

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

Authorized official

Name
Mr. Mark R Garlick, LMHC, IAADC
Title
Owner
Phone
(712) 522-4590

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 001046 IA Primary

Addresses

Primary practice location

2912 Hamilton Blvd
Sioux City, IA 51104-2410

Mailing address

2912 Hamilton Blvd Ste 105
Sioux City, IA 51104-2423
Phone (712) 522-4590

National Provider Directory

National Provider Directory

Locations

2912 Hamilton Blvd
Sioux City, IA 51104
Phone (712) 522-4590

NPI Registry JSON

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

{
    "created_epoch": "1484870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484870400000",
    "number": "1528505112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2912 HAMILTON BLVD STE 105",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511042423",
            "telephone_number": "712-522-4590",
            "fax_number": "712-522-4367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2912 HAMILTON BLVD",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511042410",
            "telephone_number": "712-522-4590",
            "fax_number": "712-522-4367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARLICK COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-20",
        "last_updated": "2017-01-20",
        "status": "A",
        "authorized_official_last_name": "GARLICK",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "712-522-4590",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMHC, IAADC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IA",
            "license": "001046",
            "primary": true
        }
    ],
    "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 Jan 20, 2017; 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.