Mark Allen Kloberdanz, ED.D., M.P.A

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

00385 Issued in IA

Practice address

1750 48TH St
Suite 2
Des Moines, IA 50310-1988

Phone

(515) 271-6150

Fax

(515) 271-6311

NPI assigned

Aug 12, 2005

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 Apr 2, 2024 through Apr 2, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Kavalier & Associates PC

  • Marriage & Family Therapist
  • West Des Moines, IA
  • NPI 1497717946

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124020748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 48TH ST",
            "address_2": "SUITE 2",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503101988",
            "telephone_number": "515-271-6150",
            "fax_number": "515-271-6311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 48TH ST",
            "address_2": "SUITE 2",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503101988",
            "telephone_number": "515-271-6150",
            "fax_number": "515-271-6311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLOBERDANZ",
        "first_name": "MARK",
        "middle_name": "ALLEN",
        "credential": "ED.D., M.P.A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "00385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rose Klingbeil
• Heidi Joy Klingelhofer, DO
• Sarah Klinger, MD
• Nicholas Klinkefus
• Joseph George Klipping, LMHC
• George Bradley Klock, DO
• Lisa Klock, DO
• Ty Kloft, DPT
• Aleksandra Sasha Kloos, DO
• Melissa Klotz, PHARMD

• Mental Health Counselor in Des Moines, IA
• Providers in Des Moines, IA by specialty
• Mental Health Counselor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.