Organization Active NPI

Counseling Associates of Central Iowa PC

  • Clinical Social Worker
  • West Des Moines, IA
National Provider Identifier
1073752218
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
COUNSELING ASSOCIATES OF CENTRAL IOWA PC
Practice address
3737 Woodland Ave Ste 601
West Des Moines, IA 50266-1937
Phone
(515) 255-2224
Fax
(515) 255-2228
NPI assigned
Feb 11, 2009
Last updated
Nov 12, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

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

Authorized official

Name
Cathy Cockayne
Title
Office Manager
Phone
(515) 255-2224

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X IA
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

3737 Woodland Ave Ste 601
West Des Moines, IA 50266-1937

Mailing address

3737 Woodland Ave Ste 601
West Des Moines, IA 50266-1937
Phone (515) 255-2224

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090706000350 IA Part B Supplier - Clinic/Group Practice 1658422589 Receives reassigned benefits from 8 practitioners
Practice locations: West Des Moines, IA

National Provider Directory

National Provider Directory

Locations

3900 Ingersoll Ave
Ste 201
Des Moines, IA 50312
Phone (515) 277-7370

4401 Westown Pkwy
Ste 280
West Des Moines, IA 50266
Phone (515) 255-2224

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1234310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731369600000",
    "number": "1073752218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3737 WOODLAND AVE STE 601",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502661937",
            "telephone_number": "515-255-2224",
            "fax_number": "515-255-2228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3737 WOODLAND AVE STE 601",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502661937",
            "telephone_number": "515-255-2224",
            "fax_number": "515-255-2228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNSELING ASSOCIATES OF CENTRAL IOWA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-11",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A",
        "authorized_official_last_name": "COCKAYNE",
        "authorized_official_first_name": "CATHY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "515-255-2224"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IA",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "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 Nov 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.