Individual provider Active NPI

Dale Clifford Greedy, LMSW, CPC

  • Addiction (Substance Use Disorder) Counselor
  • Council Bluffs, IA
National Provider Identifier
1689698995
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
20184 Issued in IA
Practice address
100 E Broadway Ste 200
Council Bluffs, IA 51503-4409
Phone
(712) 323-4478
Fax
(712) 323-4188
NPI assigned
Jul 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 20184 IA Primary
Mental Health Counselor 101YM0800X 03080 IA

Addresses

Primary practice location

100 E Broadway Ste 200
Council Bluffs, IA 51503-4409

Mailing address

208 Fletcher St
PO 254
Sidney, IA 51652-3025
Phone (712) 374-3004

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

State licenses

LicenseStateTypeSpecialty
20184IAMDAddiction (Substance Use Disorder) Counselor
03080IAMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1689698995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 FLETCHER ST",
            "address_2": "PO 254",
            "city": "SIDNEY",
            "state": "IA",
            "postal_code": "516523025",
            "telephone_number": "712-374-3004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E BROADWAY STE 200",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515034409",
            "telephone_number": "712-323-4478",
            "fax_number": "712-323-4188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEDY",
        "first_name": "DALE",
        "middle_name": "CLIFFORD",
        "credential": "LMSW, CPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IA",
            "license": "20184",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "03080",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Council Bluffs, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.