Individual provider Active NPI

Matthew Michael Ness, MHC, MFT

  • Mental Health Counselor
  • Ankeny, IA
National Provider Identifier
1053747709
Registry record updated Sep 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
001695 Issued in IA
Practice address
225 NW School St
Ankeny, IA 50023-1746
Phone
(515) 964-5003
Fax
(515) 964-3856
NPI assigned
Sep 25, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 001695 IA Primary
Marriage & Family Therapist 106H00000X 000420 IA

Addresses

Primary practice location

225 NW School St
Ankeny, IA 50023-1746

Mailing address

225 NW School St
Ankeny, IA 50023-1746
Phone (515) 964-5003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Dec 31, 2023 through Dec 31, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
001695IAMDMental Health Counselor
000420IAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kingdom Counseling LLC Mental Health Current Accepting new patients
New Life Counseling PC Mental Health Past Accepting new patients

Locations

1603 22nd St
Ste 200
West Des Moines, IA 50266
Phone (515) 601-0411

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": "1380067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380067200000",
    "number": "1053747709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 NW SCHOOL ST",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500231746",
            "telephone_number": "515-964-5003",
            "fax_number": "515-964-3856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 NW SCHOOL ST",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500231746",
            "telephone_number": "515-964-5003",
            "fax_number": "515-964-3856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NESS",
        "first_name": "MATTHEW",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "MHC, MFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-25",
        "last_updated": "2013-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "001695",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IA",
            "license": "000420",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ankeny, IA

Sources for this page

Verify at the official NPI Registry.