Individual provider Active NPI

Anders Dietz-Swenson, LMHC

  • Mental Health Counselor
  • Des Moines, IA
National Provider Identifier
1063929784
Registry record updated Jan 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
081870 Issued in IA
Practice address
611 5TH Ave
Des Moines, IA 50309-1610
Phone
(515) 537-2975
NPI assigned
Jan 3, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2018

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 081870 IA Primary

Addresses

Primary practice location

611 5TH Ave
Des Moines, IA 50309-1610

Mailing address

611 5TH Ave
Des Moines, IA 50309-1610
Phone (515) 537-2975

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
081870IAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Woodward Youth Corporation Past Accepting new patients

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": "1514937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514937600000",
    "number": "1063929784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 5TH AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503091610",
            "telephone_number": "515-537-2975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 5TH AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503091610",
            "telephone_number": "515-537-2975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIETZ-SWENSON",
        "first_name": "ANDERS",
        "name_prefix": "Mr.",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-03",
        "last_updated": "2018-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "081870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.