Individual provider Active NPI

Erin Grace Suchy-Johnson

  • Clinical Social Worker
  • Des Moines, IA
National Provider Identifier
1104398395
Registry record updated Dec 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
007803 Issued in IA
Practice address
3900 Ingersoll Ave Ste 201
Des Moines, IA 50312-3551
Phone
(515) 255-4630
NPI assigned
Dec 28, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 007803 IA Primary

Addresses

Primary practice location

3900 Ingersoll Ave Ste 201
Des Moines, IA 50312-3551

Mailing address

105 E Center St
Des Moines, IA 50309-1869

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250915003279 IA Practitioner - Clinical Social Worker 3173026044 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Counseling Associates of Central Iowa PCGroup PAC ID 1658422589, 6 clinicians

Practice addresses (Care Compare)

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling Associates of Central Iowa PC Clinical CurrentSince Aug 1, 2025 Accepting new patients

Locations

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

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

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1545955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545955200000",
    "number": "1104398395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 E CENTER ST",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503091869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 INGERSOLL AVE STE 201",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503123551",
            "telephone_number": "515-255-4630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUCHY-JOHNSON",
        "first_name": "ERIN",
        "middle_name": "GRACE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-28",
        "last_updated": "2018-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "007803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.