NPIMap

Organization Active NPI

Good Life Therapy, LLC

  • Mental Health Counselor
  • West Des Moines, IA
National Provider Identifier
1093488355
Registry record updated Aug 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
GOOD LIFE THERAPY, LLC
Doing business as
Good Life Therapy, LLC
Practice address
5000 Westown Pkwy Ste 104
West Des Moines, IA 50266-5936
Phone
(515) 314-9886
NPI assigned
Jul 31, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2021

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

Authorized official

Name
Anna Zuidema, MA, LMHC, NCCNPI 1437656667
Title
Clinical Director
Phone
(515) 314-9886

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

5000 Westown Pkwy Ste 104
West Des Moines, IA 50266-5936

Mailing address

5000 Westown Pkwy Ste 104
West Des Moines, IA 50266-5936
Phone (515) 314-9886

Other names 1

  • Good Life Therapy, LLC Doing business as

National Provider Directory

National Provider Directory

Locations

5000 Westown Pkwy
Ste 104
West Des Moines, IA 50266
Phone (515) 314-9886

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1627689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629763200000",
    "number": "1093488355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 WESTOWN PKWY STE 104",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502665936",
            "telephone_number": "515-314-9886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 WESTOWN PKWY STE 104",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502665936",
            "telephone_number": "515-314-9886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD LIFE THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-31",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-24",
        "status": "A",
        "authorized_official_last_name": "ZUIDEMA",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "515-314-9886",
        "authorized_official_credential": "MA, LMHC, NCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Good Life Therapy, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Good Life Therapy, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 24, 2021; 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.