Active NPI
Kelsi Macek
- Marriage & Family Therapist
- West Des Moines, IA
National Provider Identifier
1053790337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 076615
- Practice address
- 1200 Valley West Dr
Suite 306
West Des Moines, IA 50266-1908 - Phone
- (515) 267-1340
- NPI assigned
- May 20, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 076615 | IA | Primary |
Addresses
Primary practice location
1200 Valley West Dr
Suite 306
West Des Moines, IA 50266-1908
Mailing address
1200 Valley West Dr
Suite 306
West Des Moines, IA 50266-1908
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 9, 2024 through Jul 9, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 076615 | IA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432080000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1450224000000",
"number": "1053790337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 VALLEY WEST DR",
"address_2": "SUITE 306",
"city": "WEST DES MOINES",
"state": "IA",
"postal_code": "502661908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 VALLEY WEST DR",
"address_2": "SUITE 306",
"city": "WEST DES MOINES",
"state": "IA",
"postal_code": "502661908",
"telephone_number": "515-267-1340"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACEK",
"first_name": "KELSI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-05-20",
"last_updated": "2015-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "IA",
"license": "076615",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.