NPIMap

Organization Active NPI

Northwest Iowa Mental Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Spencer, IA
National Provider Identifier
1689669459
Registry record updated Apr 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
NORTHWEST IOWA MENTAL HEALTH CENTER
Practice address
201 E 11TH St
Spencer, IA 51301-4436
Phone
(712) 262-2922
Fax
(712) 262-3826
NPI assigned
Sep 16, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2013

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

Authorized official

Name
Dan Ries
Title
Director of Finance
Phone
(712) 262-2922

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

201 E 11TH St
Spencer, IA 51301-4436

Mailing address

201 E 11TH St
Spencer, IA 51301-4436
Phone (712) 262-2922

Other identifiers 1

IdentifierTypeStateIssuer
0011650MedicaidIA

Other names 1

  • Seasons Center for Behavioral Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031120000546 IA Part B Supplier - Clinic/Group Practice 6204730450 Receives reassigned benefits from 26 practitioners
1 other NPI on this enrollment
Practice locations: Storm Lake, IA; Sutherland, IA; Spirit Lake, IA; Spencer, IA; Sioux City, IA; Sibley, IA; Carroll, IA; Emmetsburg, IA…

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

524 E 7th St
Carroll, IA 51401
Phone (712) 775-2401

918 Broadway St
Ste 1
Emmetsburg, IA 50536

118 N 2nd Ave
Sheldon, IA 51201
Phone (712) 363-0343

824 Flindt Dr
Ste 104
Storm Lake, IA 50588

Practitioners & affiliated clinicians

Practitioners 50

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 50

NPI Registry JSON

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

{
    "created_epoch": "1126828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365465600000",
    "number": "1689669459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E 11TH ST",
            "city": "SPENCER",
            "state": "IA",
            "postal_code": "513014436",
            "telephone_number": "712-262-2922",
            "fax_number": "712-262-3826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E 11TH ST",
            "city": "SPENCER",
            "state": "IA",
            "postal_code": "513014436",
            "telephone_number": "712-262-2922",
            "fax_number": "712-262-3826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST IOWA MENTAL HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-16",
        "last_updated": "2013-04-09",
        "status": "A",
        "authorized_official_last_name": "RIES",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "712-262-2922"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011650",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Seasons Center for Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spencer, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2013; 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.