Magnolia Roots Collective and Counseling PLLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

MAGNOLIA ROOTS COLLECTIVE AND COUNSELING PLLC

Practice address

405 47TH St
West Des Moines, IA 50265-7100

Phone

(704) 253-0450

NPI assigned

Jun 26, 2025

Organization subpart

No

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

Authorized official

Name

Candace Shultz, LISWNPI 1861189508

Title

Owner

Phone

(704) 253-0450

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Candace Shultz, LMSW

  • Social Worker
  • Anchorage, AK
  • NPI 1861189508
  NPD Authorized official

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

{
    "created_epoch": "1750896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750896000000",
    "number": "1083502249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 47TH ST",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502657100",
            "telephone_number": "704-253-0450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 47TH ST",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502657100",
            "telephone_number": "704-253-0450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA ROOTS COLLECTIVE AND COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-26",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-26",
        "status": "A",
        "authorized_official_last_name": "SHULTZ",
        "authorized_official_first_name": "CANDACE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-253-0450",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1861189508",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Timothy G Mack, DPT
• Rachel Marie Madden, CADC
• Bradley Madsen, BS, CADC
• Maxwell Raleigh Magee
• Magis Chiropractic PC
• Jennifer Ann Maharry
• Pallavi Mahesh
• Michael Ray Main, D.D.S.
• Ellen Majewski, PT, DPT
• Neha Majithia

• All providers in West Des Moines, IA
• Mental Health Clinic/Center (Including Community Mental Health Center) in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.