Jackson Recovery Centers, Inc.
Organization Active NPI Substance Abuse Rehabilitation Facility · Sioux City, IA
NPI 1811994973 · NPPES record last updated Mar 9, 2026
Key facts
- NPI
- 1811994973
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Substance Abuse Rehabilitation Facility 324500000X
- Legal business name
- JACKSON RECOVERY CENTERS, INC.
- Practice address
- 800 5TH St
Suite 200
Sioux City, IA 51101-1317 - Phone
- (712) 234-2300
- Fax
- (712) 234-2398
- NPI assigned
- Jul 5, 2005
- Organization subpart
- No
Authorized official
- Name
- Julie Enockson
- Title
- Vice President Chief Financial Offi
- Phone
- (712) 234-2302
Corporate family (same tax ID) 5
Practitioners 45
-
Kelsey Nicole Bauer, PMHNP
-
Andrew Gerodias, LMHC TEMP, CADC
-
Jamie Lynn Karstens, APRN, PMHNP-BC
-
Cory Frese, LISW
-
Andrea L Harris, ARNP-BC
-
Rachel J Wurth, ARNP
-
Nesrin Karim Abu Ata, M.D.
-
Doreen C Baerentzen, LISW
-
Dawn Beckwith, LMHC
-
Ricardo Osorio, NP
-
Katherine Smith-Harris, LMHC, IADC
-
Brittany Mae Vondrak, NP-C
-
Joada Jean Best, ARNP
-
Gladys Smith, LISW
-
Dorcas Wambui Kamau, ARNP-PMHNP-BC
-
Theodore Daniel Hostikka, M.S., LADC, IADC
-
Mika Leinonen, BA, CADC
-
Audrey Baird, CADC
-
Brandalynn S Barritt, CADC
-
Jill Blake, IADC
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 16D2110478 | Rosecrance Jackson Centers | Certificate of waiver | Mar 14, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20091020000508 | IA | Part B Supplier - Clinic/Group Practice | 2466599634 |
Receives reassigned benefits from 20 practitioners Practice locations: Spencer, IA; Cherokee, IA; Sioux City, IA; Le Mars, IA; Estherville, IA; Denison, IA; Davenport, IA; Creston, IA |
National Provider Directory
- Tax ID family
- Jackson Recovery Centers
Locations
1267 W Cedar Loop
Cherokee, IA 51012
Phone (712) 225-2421
2322 E Kimberly Rd
Ste 200
Davenport, IA 52807
Phone (563) 355-0055
2322 E Kimberly Rd
Ste 200N
Davenport, IA 52807
Phone (563) 355-0055
2400 Park St
Ste B
Sheldon, IA 51201
3200 W 4th St
Sioux City, IA 51103
Phone (712) 234-2300
2928 Hamilton Blvd
Lowr E
Sioux City, IA 51104
Phone (712) 202-0777
3232 W 4th St
Sioux City, IA 51103
Phone (712) 202-0954
1713 McNaughton Way
Spencer, IA 51301
Phone (712) 584-2030
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | |||
| Voluntary or Charitable Agency | 251V00000X | IA | ||
| Substance Abuse Rehabilitation Facility | 324500000X | Yes |
Addresses
Primary practice location
800 5TH St
Suite 200
Sioux City, IA 51101-1317
Mailing address
800 5TH Street
Sioux City, IA 51101
Phone (712) 234-2300
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 68223 | Other | IA | WELLMARK PROVIDER NUMBER |
| 00-55012 | Medicaid | IA |
Other names
- Rosecrance Jackson Centers
Other providers in Sioux City, IA
- J&M Sunnybrook Inc Dba Sunnybrook Dental
- Ashley Marie Jaacks
- Fady F Jabre
- Jackson Recovery Centers, Inc.
- Jackson Recovery Centers, Inc.
- Jason Solomon Jackson
- Raichatou Ann Jackson
- Christopher L Jacobs
- Emma Jacobs Lavonne Jacobs
- Sandra Lee Jacobsma
All providers in Sioux City, IA · Substance Abuse Rehabilitation Facility in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 9, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.