Organization Active NPI

Tree of Life Therapy and Counseling Services

  • Mental Health Counselor
  • Des Moines, IA
National Provider Identifier
1104616630
Registry record updated May 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
TREE OF LIFE THERAPY AND COUNSELING SERVICES
Practice address
3839 Merle Hay Rd Ste 282
Des Moines, IA 50310-1321
Phone
(515) 707-4920
Fax
(515) 462-0633
NPI assigned
May 8, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2025

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

Authorized official

Name
Alicia Pena, LMHCNPI 1487969234
Title
Owner
Phone
(515) 707-4920

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

3839 Merle Hay Rd Ste 282
Des Moines, IA 50310-1321

Mailing address

3839 Merle Hay Rd Ste 282
Des Moines, IA 50310-1321
Phone (515) 707-4920

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250612000349 IA Part B Supplier - Clinic/Group Practice 7214447812 Receives reassigned benefits from 1 practitioner
Practice locations: Des Moines, IA

National Provider Directory

National Provider Directory

Locations

3839 Merle Hay Rd
Ste 282
Des Moines, IA 50310
Phone (515) 707-4920

Practitioners 1

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": "1746662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746662400000",
    "number": "1104616630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3839 MERLE HAY RD STE 282",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503101321",
            "telephone_number": "515-707-4920",
            "fax_number": "515-462-0633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3839 MERLE HAY RD STE 282",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503101321",
            "telephone_number": "515-707-4920",
            "fax_number": "515-462-0633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREE OF LIFE THERAPY AND COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-08",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A",
        "authorized_official_last_name": "PENA",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "515-707-4920",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.