Kelly Wentz, CADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

24065 Issued in IA

Practice address

505 5TH St Ste 100
Sioux City, IA 51101-1510

Phone

(712) 253-7100

NPI assigned

Sep 4, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sky Ranch Behavioral Services

  • Addiction (Substance Use Disorder) Counselor
  • Sioux City, IA
  • NPI 1316609720
  NPD

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

{
    "created_epoch": "1725408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1922833508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 5TH ST STE 100",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511011510",
            "telephone_number": "712-253-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 5TH ST STE 100",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511011510",
            "telephone_number": "712-253-7100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "822 Douglas St Ste 209",
            "address_purpose": "LOCATION",
            "city": "Sioux City",
            "state": "IA",
            "postal_code": "511011029",
            "country_code": "US",
            "telephone_number": "712-253-7100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WENTZ",
        "first_name": "KELLY",
        "credential": "CADC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-04",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IA",
            "license": "24065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Orlando McNair Wells
• Natasha Weltz
• Tyler J. Wendel, D.O.
• Donald B Wender, M.D.
• Tracey Wenger, CADC
• Diane K Werth, MD
• Elizabeth Kelly Wessling, PA-C
• Dorothy Westin-Yockey, LISW
• Taylor James Westphal, DDS
• Patricia Rose Whalen, LISW

• Addiction (Substance Use Disorder) Counselor in Sioux City, IA
• Providers in Sioux City, IA by specialty
• Addiction (Substance Use Disorder) Counselor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; 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.