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COPPERSTONE DEVELOPMENT
NPI 1699633172
Peer Specialist in Sioux City, IA

Active since January 13, 2026CLIA 16D2333984 · Waiver
1309 PIERCE ST, SIOUX CITY, IA 51105(712) 560-7336(712) 560-1563 Get Directions Write a Review

NPPES record last updated: January 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Copperstone Development NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COPPERSTONE DEVELOPMENT (NPI 1699633172) is a healthcare organization registered as a peer specialist in Sioux City, Iowa and active in the NPI registry since January 2026. The organization holds a CLIA Waiver certificate valid through November 12, 2027 and lists Pamela Kay Ingram, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1699633172
Entity TypeOrganization
Primary Taxonomy175T00000X
Legal Business NameCOPPERSTONE DEVELOPMENT
Location Address1309 PIERCE STSioux City, IA 51105-1422
Mailing Address1309 Pierce StSioux City, IA 51105-1422 · (712) 560-7336 · Fax (712) 560-1563
Phone(712) 560-7336
Fax(712) 560-1563
Organization SubpartNo
Authorized OfficialPamela Kay IngramExecutive Director · (712) 899-0763
Enumeration DateJanuary 13, 2026
NPPES CertifiedJanuary 13, 2026
✔ NPI 1699633172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
1309 PIERCE ST, Sioux City, IA 51105
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 16D2333984

Copperstone Development · Sioux City, IA
Active · expires Nov 12, 2027
CLIA Number16D2333984
Laboratory TypeComp. Outpatient Rehab Facility
Certificate Effective DateNovember 13, 2025
Certificate Expiration DateNovember 12, 2027
Laboratory DirectorPamela K. Ingram
Laboratory Phone(712) 560-7336
Laboratory LocationCopperstone Development1309 Pierce St, Sioux City, IA 51105
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PAT WABASHAW
Peer Specialist
1309 PIERCE ST
SIOUX CITY, IA 51105
Woodbury County (712) 560-7336
SUNRISE ROBERTS
Peer Specialist
1309 PIERCE ST
SIOUX CITY, IA 51105
Woodbury County (267) 800-9099

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Copperstone Development's NPI number?

The NPI number for Copperstone Development is 1699633172. It was assigned to this organization in the NPPES registry on January 13, 2026.

Where is Copperstone Development located?

Copperstone Development is located at 1309 Pierce St, Sioux City, IA 51105. The listed phone number is (712) 560-7336.

What is Copperstone Development's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

Does Copperstone Development hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 16D2333984) is associated with this NPI, valid through November 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Copperstone Development was last updated on January 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.