Individual provider Active NPI

Breanne Meisenheimer, LISW

  • Clinical Social Worker
  • Des Moines, IA
National Provider Identifier
1043867278
Registry record updated Jun 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
095546 Issued in IA
Practice address
808 5TH Ave
Des Moines, IA 50309-1307
Phone
(515) 244-2267
NPI assigned
Aug 22, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 095546 IA Primary

Addresses

Primary practice location

808 5TH Ave
Des Moines, IA 50309-1307

Mailing address

808 5TH Ave
Des Moines, IA 50309-1307
Phone (515) 244-2267

Other practice location 1

5000 Westown Pkwy Ste 104
West Des Moines, IA 50266-5936
Phone (515) 679-3947

Other names 1

  • Breanne Chapman Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 29, 2025 through Jul 29, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
095546IAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
New Day Therapy, LLC Clinical Current Accepting new patients
Good Life Therapy, LLC PastSince Aug 8, 2021 Accepting new patients

Locations

3209 Ingersoll Ave
Ste 100
Des Moines, IA 50312
Phone (515) 282-4560

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1566432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655251200000",
    "number": "1043867278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 5TH AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503091307",
            "telephone_number": "515-244-2267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 5TH AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503091307",
            "telephone_number": "515-244-2267"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5000 Westown Pkwy Ste 104",
            "address_purpose": "LOCATION",
            "city": "West Des Moines",
            "state": "IA",
            "postal_code": "502665936",
            "country_code": "US",
            "telephone_number": "515-679-3947",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEISENHEIMER",
        "first_name": "BREANNE",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-22",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "095546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BREANNE",
            "last_name": "CHAPMAN",
            "credential": "LISW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.