NPIMap

Organization Active NPI

Ames Counseling and Psychological Services PC

  • Clinical Psychologist
  • Ames, IA
National Provider Identifier
1124099775
Registry record updated Sep 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
AMES COUNSELING AND PSYCHOLOGICAL SERVICES PC
Practice address
3600 Lincoln Way
Suite 4
Ames, IA 50014-7595
Phone
(515) 239-4410
Fax
(515) 663-4885
NPI assigned
Jan 31, 2006
Organization subpart
No

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 13

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040402001059 IA Part B Supplier - Clinic/Group Practice 8921090374 Receives reassigned benefits from 11 practitioners
Practice locations: Ames, IA

National Provider Directory

National Provider Directory

Locations

3600 Lincoln Way
Ste 4
Ames, IA 50014
Phone (515) 239-4410

NPPES NPI Registry

Updated by the provider on Sep 29, 2025

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

Authorized official

Name
Dr. Kenneth Israel, PH.D.
Title
Administrator
Phone
(515) 239-4410

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TC0700X Primary
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X

Addresses

Primary practice location

3600 Lincoln Way
Suite 4
Ames, IA 50014-7595

Mailing address

3600 Lincoln Way
Suite 4
Ames, IA 50014-7595
Phone (515) 239-4410

Other identifiers 1

IdentifierTypeStateIssuer
33431OtherIABLUE SHIELD OF IOWA

Other names 1

  • AMES COUNSELING AND PSYCHOLOGICAL SERVICES Doing business as

NPI Registry JSON

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

{
    "created_epoch": "1138665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759104000000",
    "number": "1124099775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 LINCOLN WAY",
            "address_2": "SUITE 4",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500147595",
            "telephone_number": "515-239-4410",
            "fax_number": "515-663-4885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 LINCOLN WAY",
            "address_2": "SUITE 4",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500147595",
            "telephone_number": "515-239-4410",
            "fax_number": "515-663-4885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMES COUNSELING AND PSYCHOLOGICAL SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-31",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A",
        "authorized_official_last_name": "ISRAEL",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "515-239-4410",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF IOWA",
            "identifier": "33431",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AMES COUNSELING AND PSYCHOLOGICAL SERVICES",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "AMES COUNSELING AND PSYCHOLOGICAL SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ames, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.