Individual provider Active NPI

James Edward Bustamante, M.A., LMHC

  • Mental Health Counselor
  • Grimes, IA
National Provider Identifier
1134316003
Registry record updated Jun 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
00424 Issued in IA
Practice address
209 NE Ewing CT
Grimes, IA 50111-1109
Phone
(515) 321-2082
NPI assigned
Sep 25, 2007
Sex
Male
Sole proprietor
Yes

Organizations & group practices 2

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.

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1997
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

209 NE Ewing CT
Grimes, IA 50111-1109

950 Office Park Rd
Suite 335
West Des Moines, IA 50265-2121

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
I20251124003734 IA Practitioner - Mental Health Counselor 2466426226 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
00424IAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Square One Counseling, Inc. Mental Health CurrentSince Oct 19, 2025 Accepting new patients
Innovative Counseling & Consulting, Inc. Mental Health Past Accepting new patients

Locations

950 Office Park Rd
Ste 335
West Des Moines, IA 50265
Phone (402) 658-5740

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 00424 IA Primary

Addresses

NPPES NPI Registry

Primary practice location

209 NE Ewing CT
Grimes, IA 50111-1109

Mailing address

209 NE Ewing CT
Grimes, IA 50111-1109
Phone (515) 321-2082

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 19, 2025.

{
    "created_epoch": "1190678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750291200000",
    "number": "1134316003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 NE EWING CT",
            "city": "GRIMES",
            "state": "IA",
            "postal_code": "501111109",
            "telephone_number": "515-321-2082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 NE EWING CT",
            "city": "GRIMES",
            "state": "IA",
            "postal_code": "501111109",
            "telephone_number": "515-321-2082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSTAMANTE",
        "first_name": "JAMES",
        "middle_name": "EDWARD",
        "credential": "M.A., LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-25",
        "last_updated": "2025-06-19",
        "certification_date": "2025-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "00424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grimes, IA

Sources for this page

Verify at the official NPI Registry.