STORY COUNTY COMMUNITY LIFE PROGRAM
NPI 1902024755
Community/Behavioral Health in Ames, IA

Active since April 24, 2007
104 S HAZEL AVE, AMES, IA 50010(515) 956-2600(515) 956-2609 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Story County Community Life Program NPPES

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

STORY COUNTY COMMUNITY LIFE PROGRAM (NPI 1902024755) is a healthcare organization registered as a community/behavioral health in Ames, Iowa and active in the NPI registry since April 2007. The organization lists Gayla R Harken, Director, as its authorized official.

NPPES Registry Identity

NPI1902024755
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameSTORY COUNTY COMMUNITY LIFE PROGRAM
Location Address104 S HAZEL AVEAmes, IA 50010-5952
Mailing Address104 S Hazel AveAmes, IA 50010-5952 · (515) 956-2600 · Fax (515) 956-2609
Fax(515) 956-2609
Organization SubpartNo
Authorized OfficialGayla R HarkenDirector · (515) 956-2602
Enumeration DateApril 24, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1902024755 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, 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.

104 S HAZEL AVE, Ames, IA 50010

Other Identifiers 1

Medicaid0745851IA

Other Providers at the Same Location NPPES 4

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

Community/Behavioral Health
104 S HAZEL AVE
AMES, IA 50010
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
104 S HAZEL AVE
AMES, IA 50010
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
104 S HAZEL AVE
AMES, IA 50010
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
104 S HAZEL AVE
AMES, IA 50010

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1902024755, enumerated as an "organization" on April 24, 2007.

The provider is located at 104 S HAZEL AVE AMES, IA 50010 and the phone number is (515) 956-2600.

Community/Behavioral Health with taxonomy code 251S00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.