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625 Court St Sioux City IA 51101-1919 | |
| (712) 252-3871 | |
| (712) 252-3157 |
| Full Name | |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 625 Court St, Sioux City, Iowa |
| Authorized Official Name and Position | Sheila L Martin (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7122523871 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
625 Court St Sioux City IA 51101-1919 Ph: (712) 252-3871 | 625 Court St Sioux City IA 51101-1919 Ph: (712) 252-3871 |
| NPI Number | 1952529950 |
|---|---|
| Provider Enumeration Date | 04/23/2007 |
| Last Update Date | 12/22/2023 |
| Certification Date | 12/22/2023 |
| Medicare PECOS PAC ID | 4688575251 |
|---|---|
| Medicare Enrollment ID | O20040116000294 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952529950 | NPI | - | NPPES |
| Provider Name | Lucille S Swalve |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649235367 PECOS PAC ID: 0547208472 Enrollment ID: I20050421000466 |
| Provider Name | Daniel W Gillette |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053376475 PECOS PAC ID: 5799885919 Enrollment ID: I20070717000206 |
| Provider Name | Joada J Best |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619153137 PECOS PAC ID: 6204913361 Enrollment ID: I20080414000500 |
| Provider Name | Pamela S Mellott |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457597684 PECOS PAC ID: 6901079128 Enrollment ID: I20111104000053 |
| Provider Name | Nancy Thieman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699095919 PECOS PAC ID: 0840458105 Enrollment ID: I20120216000473 |
| Provider Name | Leslie Mcdonald Gonzalez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528148103 PECOS PAC ID: 4688777006 Enrollment ID: I20140131000537 |
| Provider Name | Emily D Mcgaffin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194059402 PECOS PAC ID: 6103963681 Enrollment ID: I20150526001068 |
| Provider Name | Melissa L Konken |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902358443 PECOS PAC ID: 6507146370 Enrollment ID: I20161213002539 |
| Provider Name | Claire Tolstedt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851848220 PECOS PAC ID: 4981946274 Enrollment ID: I20190507002978 |
| Provider Name | Ricardo Osorio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093272668 PECOS PAC ID: 2062844889 Enrollment ID: I20191118000423 |
| Provider Name | Travis J Bowers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699140681 PECOS PAC ID: 7810324472 Enrollment ID: I20200221000603 |
| Provider Name | Sarah Stevens |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710408950 PECOS PAC ID: 8820413057 Enrollment ID: I20200805002894 |
| Provider Name | Danika L Hansen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720698335 PECOS PAC ID: 1951728799 Enrollment ID: I20200825003175 |
| Provider Name | Lisa Maria Meyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912208323 PECOS PAC ID: 8123207867 Enrollment ID: I20210415002531 |
| Provider Name | Brianna M Peterson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700334083 PECOS PAC ID: 6901206036 Enrollment ID: I20210611000629 |
| Provider Name | Juana Medina Palmer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003284092 PECOS PAC ID: 8820499544 Enrollment ID: I20210701000615 |
| Provider Name | Amy A Small |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154852531 PECOS PAC ID: 6901203868 Enrollment ID: I20210921001327 |
| Provider Name | Lori Bratetic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770258097 PECOS PAC ID: 2860899416 Enrollment ID: I20210923002248 |
| Provider Name | Daniel Kenneth Harris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881185403 PECOS PAC ID: 8820483720 Enrollment ID: I20220324001449 |
| Provider Name | Kelsey Elizabeth Trejo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801427778 PECOS PAC ID: 3375923113 Enrollment ID: I20220831001735 |
| Provider Name | Melissa Watchorn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073249306 PECOS PAC ID: 9032594254 Enrollment ID: I20220923000870 |
| Provider Name | Larissa Faline Sands |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750827945 PECOS PAC ID: 5294105870 Enrollment ID: I20221222000955 |
| Provider Name | Tyler Jon Lesko |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1538847181 PECOS PAC ID: 6406200096 Enrollment ID: I20231002000158 |
| Provider Name | Robert P Ouellette |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366756371 PECOS PAC ID: 8022467273 Enrollment ID: I20231213000965 |
| Provider Name | Kara Ann Hovland |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215175948 PECOS PAC ID: 1052761996 Enrollment ID: I20231219001662 |
| Provider Name | Alison Koch |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1770902645 PECOS PAC ID: 6305296260 Enrollment ID: I20231219002238 |
| Provider Name | Anna Murphy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063865954 PECOS PAC ID: 0840640413 Enrollment ID: I20231221003383 |
| Provider Name | Lucas Steven Mann |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588284855 PECOS PAC ID: 4587015540 Enrollment ID: I20240104000769 |
| Provider Name | Courtney Kilberg |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871861955 PECOS PAC ID: 6800247347 Enrollment ID: I20240109001331 |
| Provider Name | Melissa M Kokenge |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275025405 PECOS PAC ID: 5597117721 Enrollment ID: I20240123003663 |
| Provider Name | Karissa Marie Weaver |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1285490896 PECOS PAC ID: 2466893490 Enrollment ID: I20240508002592 |
| Provider Name | Kaitlyn Emma Mockler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902575855 PECOS PAC ID: 8022550003 Enrollment ID: I20240605002509 |
| Provider Name | Breanne Allen Danzi |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1154815959 PECOS PAC ID: 1355873092 Enrollment ID: I20241018001163 |
Mvp Integrative Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1221 Pierce Street, Sioux City, IA 51105 Phone: 712-255-0204 Fax: 712-255-1120 | |
Mental Health Matters, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 600 4th St, Suite 202 #10, Sioux City, IA 51101 Phone: 712-898-3637 | |
Baker Psychology, Plc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1106 4th St Ste 205, Sioux City, IA 51101 Phone: 712-252-1473 Fax: 712-252-5672 | |
Lee And Associates Consultants Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1608 Casselman, Sioux City, IA 51103 Phone: 712-253-3232 Fax: 712-258-3065 | |
Family Access Center, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1221 Pierce St, Sioux City, IA 51105 Phone: 712-255-0204 Fax: 712-255-1120 |