Leisha R Ristau, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

007931 Issued in IA

Practice address

2425 N Ankeny Blvd Ste 106
Ankeny, IA 50023-4722

Phone

(515) 489-4602

Fax

(515) 512-1504

NPI assigned

Jul 30, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Leisha R Staples Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Oct 10, 2016 through Oct 10, 2026

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Nurturing Therapy Services, PC

  • Clinical Social Worker
  • Ankeny, IA
  • NPI 1477329035
  NPD Authorized official

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

{
    "created_epoch": "1343606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708992000000",
    "number": "1104172980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 N ANKENY BLVD STE 106",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500234711",
            "telephone_number": "515-489-4602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 N ANKENY BLVD STE 106",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500234722",
            "telephone_number": "515-489-4602",
            "fax_number": "515-512-1504"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1116 SE Mill Pond Ct",
            "address_purpose": "LOCATION",
            "city": "Ankeny",
            "state": "IA",
            "postal_code": "500216533",
            "country_code": "US",
            "telephone_number": "515-489-4602",
            "fax_number": "515-512-1504",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RISTAU",
        "first_name": "LEISHA",
        "middle_name": "R",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-30",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "007931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEISHA",
            "last_name": "STAPLES",
            "middle_name": "R",
            "credential": "LISW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Bobbi Jo Beth Rinker, DPT
• Fiona Riordan
• Molly Jane Riordan, LMHC
• Natasha Ripley, PHARMD
• Rise Therapy Center, PLLC
• Alan James Ritchie
• Sara Mae Robbins, PHARMD
• Rock Valley Physical Therapy Center
• Riley Rodemaker, LMHC
• Thomas R Rodemyer, PT

• Clinical Social Worker in Ankeny, IA
• Providers in Ankeny, IA by specialty
• Clinical Social Worker in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2024; 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.

Verify at the official NPI Registry.