Active NPI
Tree of Life Therapy and Counseling Services
- Mental Health Counselor
- Des Moines, IA
National Provider Identifier
1104616630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alicia Pena, LMHC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryLocations
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.