STORY COUNTY COMMUNITY LIFE PROGRAM (NPI# 1477727204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477727204 |
| Entity Type | Organization |
| Organization Name | STORY COUNTY COMMUNITY LIFE PROGRAM |
| Practice Address |
104 S Hazel Ave Ames IA 50010-5952 |
| Practice Telephone | 5159562600 |
| Practice Fax Number | 5159562609 |
| Mailing Telephone | 5159562600 |
| Mailing Fax Number | 5159562609 |
| Enumeration Date | 2008-04-14 |
| Last Update Date | 2008-04-14 |
| Authorized Official Name | MRS. GAYLA R HARKEN (DIRECTOR) |
| Authorized Official Telephone | 5159562602 |
| Authorized Official Credential | MS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 1740352467 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164597340 | Story County Community Life Program | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 124 S Hazel Ave, Ames, IA 50010-5952 | 2006-11-22 |
| 1366516114 | Story County Community Life Program | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 620 Duluth St, Ames, IA 50010-8558 | 2006-11-20 |
| 1902970759 | Story County Community Life Program | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3911 Calhoun Ave, Ames, IA 50010-4164 | 2006-11-20 |
| 1740352467 | Story County Community Life Program | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 104 S Hazel Ave, Ames, IA 50010-5952 | 2006-11-15 |
| 1689986887 | Story County Community Life Program | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 104 S Hazel Ave, Ames, IA 50010-5952 | 2010-07-06 |
| 1851526586 | Story County Community Life Program | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 104 S Hazel Ave, Ames, IA 50010-5952 | 2009-05-26 |
| 1902024755 | Story County Community Life Program | Community/Behavioral Health | 104 S Hazel Ave, Ames, IA 50010-5952 | 2007-04-24 |
| Street Address |
104 S HAZEL AVE |
| City | AMES |
| State | IA |
| Zip Code | 50010-5952 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740352467 | Story County Community Life Program | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 104 S Hazel Ave, Ames, IA 50010-5952 | 2006-11-15 |
| 1689986887 | Story County Community Life Program | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 104 S Hazel Ave, Ames, IA 50010-5952 | 2010-07-06 |
| 1851526586 | Story County Community Life Program | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 104 S Hazel Ave, Ames, IA 50010-5952 | 2009-05-26 |
| 1902024755 | Story County Community Life Program | Community/Behavioral Health | 104 S Hazel Ave, Ames, IA 50010-5952 | 2007-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851853063 | Eric Martin Mills | Social Worker | 320 South 17th Street, Ames, IA 50010 | 2019-04-05 |
| 1487147963 | Mcfarland Clinic, PC | Eyewear Supplier (Equipment, not the service) | 3500 University Blvd., Suite 1001, Ames, IA 50010 | 2018-06-11 |
| 1346733763 | Katelyn Elaine Holbrook | Occupational Therapist | 1915 Philadelphia Street, Ames, IA 50010 | 2018-06-11 |
| 1174030571 | Joshua B Hubbell | Peer Specialist | 527 E Lincoln Way #216, Ames, IA 50010 | 2018-01-08 |
| 1528426996 | Brandy Suzanne Walker | Occupational Therapist | 28201 550th Ave, Ames, IA 50010 | 2016-02-01 |
| 1386086338 | Adrienne Rae Shrader | Counselor | 600 5th Street, Suite 200, Ames, IA 50010 | 2013-07-18 |
| 1164708509 | North Central Iowa Mental Health Center Inc | Clinic/Center | 1801 20th St, Ames, IA 50010 | 2011-10-31 |
| 1669752226 | Ashley Rae Loeffelholz | Pharmacist | Nucara Pharmacy #28, 3600 University Blvd Suite 103, Ames, IA 50010 | 2011-08-26 |
| 1245544436 | Crawford Endodontics, Pllc | Dentist | 515 Grand Ave., Suite 102, Ames, IA 50010 | 2010-07-30 |
| 1023256708 | Donald Warren Powers | Family Medicine | 2538 Eisenhower, Ames, IA 50010 | 2009-02-03 |
| Find all providers in zip 50010 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336304153 | Creative Counseling and Intervention Services, Inc. | Community/Behavioral Health | 208 5th St, Suite 103, Ames, IA 50010-6272 | 2008-07-21 |
| 1528234218 | James Ray Trahan Md Plc | Community/Behavioral Health | 2521 University Blvd Ste 122, Ames, IA 50010-8629 | 2008-05-02 |
| 1508312349 | James R Trahan Md Plc | Community/Behavioral Health | 2521 University Blvd, Suite #122, Ames, IA 50010-8629 | 2016-08-31 |
| 1447684436 | Mary E. Lee, Therapy, L.L.C. | Community/Behavioral Health | 600 5th St, Suite 200, Ames, IA 50010-6085 | 2013-08-26 |
| 1063753762 | Gloria Billings, Lisw, Acsw, Plc | Community/Behavioral Health | 600 5th St, Suite 200, Ames, IA 50010-6085 | 2013-03-06 |
| 1578737862 | Rescare, Inc | Community/Behavioral Health | 545 Main St, Ste # 202, Ames, IA 50010-6080 | 2008-04-17 |
| 1902024755 | Story County Community Life Program | Community/Behavioral Health | 104 S Hazel Ave, Ames, IA 50010-5952 | 2007-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417031 | Symmetry Health, LLC | Community/Behavioral Health | 2104 Palmer Cir, Iowa City, IA 52240-5900 | 2020-11-05 |
| 1407462625 | Caring Hearts of West Central Iowa, LLC | Community/Behavioral Health | 702 San Salvador Ave, Carroll, IA 51401-1838 | 2020-09-22 |
| 1538787304 | Resourcefull Unlimited | Community/Behavioral Health | 1131 E 39th St, Davenport, IA 52807-1758 | 2020-07-08 |
| 1376168799 | Melissa Genreau Lmhc Pllc | Community/Behavioral Health | 373 Collins Rd Ne Ste 200, Cedar Rapids, IA 52402-3167 | 2020-06-11 |
| 1659991610 | Kivisto Counseling and Therapy LLC | Community/Behavioral Health | 2550 Middle Rd Ste 3, Bettendorf, IA 52722-3298 | 2020-04-20 |
| 1538794110 | Mindful Connections, LLC | Community/Behavioral Health | 3731 Pheasant Ln # 203, Waterloo, IA 50701-5215 | 2020-03-04 |
| 1982245403 | Unique Affinity Dynamics, LLC | Community/Behavioral Health | 200 W Cleveland St, Olin, IA 52320-9523 | 2019-10-06 |
| 1417507872 | Jason Smith Assessment and Counseling Associates | Community/Behavioral Health | 950 Office Park Rd Ste 235, West Des Moines, IA 50265-2121 | 2019-09-18 |
| 1750945135 | Basurto Behavioral Health, LLC | Community/Behavioral Health | 3316 Cedar Heights Dr Ste A, Cedar Falls, IA 50613-6083 | 2019-05-01 |
| 1730640830 | Hope Community Living of Iowa,inc. | Community/Behavioral Health | 3702 162nd St, Urbandale, IA 50323-2582 | 2019-03-29 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.