Active NPI
Scott Alan Bohlin
- Addiction (Substance Use Disorder) Counselor
- Storm Lake, IA
National Provider Identifier
1679325807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Practice address
- 824 Flindt Dr Ste 104
Storm Lake, IA 50588-3208 - Phone
- (800) 242-5101
- NPI assigned
- Apr 2, 2024
- Last updated
- Apr 2, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | IA | Primary |
Addresses
Primary practice location
824 Flindt Dr Ste 104
Storm Lake, IA 50588-3208
Mailing address
2574 280TH Street Sac City Iowa 50583
Sac City, IA 50583
Phone (171) 226-9318
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1712016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712016000000",
"number": "1679325807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2574 280TH STREET SAC CITY IOWA 50583",
"city": "SAC CITY",
"state": "IA",
"postal_code": "50583",
"telephone_number": "171-226-9318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "824 FLINDT DR STE 104",
"city": "STORM LAKE",
"state": "IA",
"postal_code": "505883208",
"telephone_number": "800-242-5101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOHLIN",
"first_name": "SCOTT",
"middle_name": "ALAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-04-02",
"last_updated": "2024-04-02",
"certification_date": "2024-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "IA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Storm Lake, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.