Organization Active NPI

Headwaters Integrative Center LLC

  • Mental Health Counselor
  • Spirit Lake, IA
National Provider Identifier
1942119573
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
HEADWATERS INTEGRATIVE CENTER LLC
Practice address
3008 18TH St
Spirit Lake, IA 51360-7471
Phone
(712) 330-8090
NPI assigned
Sep 1, 2026
Last updated
Sep 1, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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

Authorized official

Name
Ruth McCleery
Title
Ceo
Phone
(712) 330-8090

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

3008 18TH St
Spirit Lake, IA 51360-7471

Mailing address

3008 18TH St
Spirit Lake, IA 51360-7471

National Provider Directory

National Provider Directory

Locations

3008 18th St
Spirit Lake, IA 51360
Phone (712) 330-8090

NPI Registry JSON

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

{
    "created_epoch": "1788220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788220800000",
    "number": "1942119573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3008 18TH ST",
            "city": "SPIRIT LAKE",
            "state": "IA",
            "postal_code": "513607471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3008 18TH ST",
            "city": "SPIRIT LAKE",
            "state": "IA",
            "postal_code": "513607471",
            "telephone_number": "712-330-8090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEADWATERS INTEGRATIVE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-01",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A",
        "authorized_official_last_name": "MCCLEERY",
        "authorized_official_first_name": "RUTH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "712-330-8090"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spirit Lake, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.