Organization Active NPI

Alli Center LLC

  • Clinical Social Worker
  • Coralville, IA
National Provider Identifier
1699286427
Registry record updated Apr 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
7530 Issued in IA
Legal business name
ALLI CENTER LLC
Practice address
1150 5TH St Ste 270
Coralville, IA 52241-2933
Phone
(319) 804-9312
Fax
(319) 449-3845
NPI assigned
Oct 19, 2017
Last updated
Apr 28, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2025

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

Authorized official

Name
Zara Wanlass
Title
Member, Practice Manager
Phone
(319) 804-9312

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 081108 IA
Clinical Social Worker 1041C0700X 007582 IA
Clinical Social Worker 1041C0700X 06670 IA
Clinical Social Worker 1041C0700X 7530 IA Primary
Marriage & Family Therapist 106H00000X 000360 IA

Addresses

Primary practice location

1150 5TH St Ste 270
Coralville, IA 52241-2933

Mailing address

1150 5TH St Ste 270
Coralville, IA 52241-2933
Phone (319) 804-9312

Other practice location 1

555 Cameron Way Unit 2
North Liberty, IA 52317-4901
Phone (319) 804-9312

Other practice location 2

1150 5th St Ste 290
Coralville, IA 52241-2933
Phone (319) 804-9312

Other practice location 3

1150 5th St Ste 268
Coralville, IA 52241-2933
Phone (319) 804-9312

Other identifiers 2

IdentifierTypeStateIssuer
1881993160MedicaidIA
0710977MedicaidIA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180131002794 IA Part B Supplier - Clinic/Group Practice 9638439128 Receives reassigned benefits from 18 practitioners
Practice locations: Coralville, IA; North Liberty, IA

National Provider Directory

National Provider Directory

Locations

1150 5th St
Ste 290
Coralville, IA 52241
Phone (319) 804-9312

1150 5th St
Ste 270
Iowa City, IA 52241
Phone (319) 804-9312

555 Cameron Way
Unit 2
North Liberty, IA 52317
Phone (319) 800-9046

Interoperability endpoints

  • Direct secure messaging: info@allicenter.kareodirect.com

Practitioners & affiliated clinicians

Practitioners 33

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 33

NPI Registry JSON

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

{
    "created_epoch": "1508371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745798400000",
    "number": "1699286427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 5TH ST STE 270",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522412933",
            "telephone_number": "319-804-9312",
            "fax_number": "888-892-7959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 5TH ST STE 270",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522412933",
            "telephone_number": "319-804-9312",
            "fax_number": "319-449-3845"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "555 Cameron Way Unit 2",
            "address_purpose": "LOCATION",
            "city": "North Liberty",
            "state": "IA",
            "postal_code": "523174901",
            "country_code": "US",
            "telephone_number": "319-804-9312",
            "fax_number": "319-449-3845",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1150 5th St Ste 290",
            "address_purpose": "LOCATION",
            "city": "Coralville",
            "state": "IA",
            "postal_code": "522412933",
            "country_code": "US",
            "telephone_number": "319-804-9312",
            "fax_number": "319-449-3845",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1150 5th St Ste 268",
            "address_purpose": "LOCATION",
            "city": "Coralville",
            "state": "IA",
            "postal_code": "522412933",
            "country_code": "US",
            "telephone_number": "319-804-9312",
            "fax_number": "319-449-3845",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ALLI CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-19",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A",
        "authorized_official_last_name": "WANLASS",
        "authorized_official_first_name": "ZARA",
        "authorized_official_title_or_position": "MEMBER, PRACTICE MANAGER",
        "authorized_official_telephone_number": "319-804-9312"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "081108",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "007582",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "06670",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "7530",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IA",
            "license": "000360",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1881993160",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0710977",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coralville, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2025; 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.