Copperstone Development

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Legal business name

COPPERSTONE DEVELOPMENT

Practice address

1309 Pierce St
Sioux City, IA 51105-1422

Phone

(712) 560-7336

Fax

(712) 560-1563

NPI assigned

Jan 13, 2026

Organization subpart

No

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

Authorized official

Name

Pamela Kay IngramNPI 1881881977

Title

Executive Director

Phone

(712) 899-0763

Specialties & licenses 1

Addresses

Tax ID family

Copperstone Development2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Copperstone Development

  • Community/Behavioral Health Agency
  • Sioux City, IA
  • NPI 1972345338
  NPD tax ID

Locations

Practitioners 2

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

• Pamela Kay Ingram, PSY. D, LMSW, IADC

  • Mental Health Counselor
  • Sioux City, IA
  • NPI 1881881977
  NPD Authorized official
• Pat Wabashaw

  • Peer Specialist
  • Sioux City, IA
  • NPI 1033078175
  NPD

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

{
    "created_epoch": "1768262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768262400000",
    "number": "1699633172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1309 PIERCE ST",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511051422",
            "telephone_number": "712-560-7336",
            "fax_number": "712-560-1563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 PIERCE ST",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511051422",
            "telephone_number": "712-560-7336",
            "fax_number": "712-560-1563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COPPERSTONE DEVELOPMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-13",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A",
        "authorized_official_last_name": "INGRAM",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "712-899-0763"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney L. Conatser, PHARM.D.
• Judith Conner, MSW
• Michelle Maroney Swalboski Conway
• Britney Nicole Cooper, MS CCC-SLP
• Jenna Cooper, LMSW
• Copperstone Development
• Teri Marie Copple, LMHC
• Counseling and Support Services 1 Inc
• Counseling and Support Services Inc
• Countryside Health Investors LLC (Countryside Health Care Center)

• Peer Specialist in Sioux City, IA
• Providers in Sioux City, IA by specialty
• Peer Specialist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2026; 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.