Alexander Kennison, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Practice address

5550 Wild Rose LN Ste 400
West Des Moines, IA 50266-5351

Phone

(515) 346-3069

Fax

(515) 346-3069

NPI assigned

May 18, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Nov 18, 2024 through Nov 18, 2026

Medicare enrollment (NPD)

Not enrolled

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.

• Premier Counseling Professionals, LLC

  • Marriage & Family Therapist
  • West Des Moines, IA
  • NPI 1679038244
  NPD Authorized official

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

{
    "created_epoch": "1431907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671494400000",
    "number": "1104204551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2135 NW 108TH ST UNIT 71591",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503253826",
            "telephone_number": "515-346-3069",
            "fax_number": "515-346-3069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5550 WILD ROSE LN STE 400",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502665351",
            "telephone_number": "515-346-3069",
            "fax_number": "515-346-3069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNISON",
        "first_name": "ALEXANDER",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-18",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexander M Kelso
• Kade Kelso, DC
• Joel Kennedy, MPT
• Sara Kennedy, RN
• Mary Kenney, RD, LD
• Miemie Kephart, PHARMD
• Jeffrey S Kerber, LMFT
• Shawn Michael Kerby, D.D.S.
• Ruaa Khaleefa
• Khan Family Medical Clinic

• Marriage & Family Therapist in West Des Moines, IA
• Providers in West Des Moines, IA by specialty
• Marriage & Family Therapist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2022; 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.