Individual provider Active NPI

Lana Rose Herteen, MA, LMHC

  • Mental Health Counselor
  • Des Moines, IA
National Provider Identifier
1053630236
Registry record updated May 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
00412 Issued in IA
Practice address
1215 Pleasant St
Suite 303
Des Moines, IA 50309-1416
Phone
(515) 241-4311
Fax
(515) 241-4320
NPI assigned
May 27, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 00412 IA Primary

Addresses

Primary practice location

1215 Pleasant St
Suite 303
Des Moines, IA 50309-1416

Mailing address

1215 Pleasant St
Suite 303
Des Moines, IA 50309-1416
Phone (515) 241-4311

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231204002888 IA Practitioner - Mental Health Counselor 9234321134 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Compass Clinical Associates PLLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

2500 82nd Pl
Urbandale, IA 50322
Phone (515) 270-1344

Organizations & group practices 1

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": "1274918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274918400000",
    "number": "1053630236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 PLEASANT ST",
            "address_2": "SUITE 303",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503091416",
            "telephone_number": "515-241-4311",
            "fax_number": "515-241-4320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 PLEASANT ST",
            "address_2": "SUITE 303",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503091416",
            "telephone_number": "515-241-4311",
            "fax_number": "515-241-4320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERTEEN",
        "first_name": "LANA",
        "middle_name": "ROSE",
        "name_prefix": "Mrs.",
        "credential": "MA, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-27",
        "last_updated": "2010-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "00412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.