NPIMap

Organization Active NPI

Superior Health Care

  • Professional Counselor
  • West Des Moines, IA
National Provider Identifier
1144388414
Registry record updated Jan 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
SUPERIOR HEALTH CARE
Practice address
7725 Wistful Vista Dr
Unit 703
West Des Moines, IA 50266-8032
Phone
(515) 256-0323
Fax
(515) 537-1051
NPI assigned
Dec 5, 2006
Last updated
Jan 13, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2008

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

Authorized official

Name
Patricia Ann Barker
Title
Ceo
Phone
(515) 256-0323

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X NU Primary

Addresses

Primary practice location

7725 Wistful Vista Dr
Unit 703
West Des Moines, IA 50266-8032

Mailing address

PO Box 66054
West Des Moines, IA 50265-9408
Phone (515) 256-0323

Other identifiers 3

IdentifierTypeStateIssuer
0469429MedicaidIA
33142OtherIAWELLMARK
36932OtherIAWELLMARK

National Provider Directory

National Provider Directory

Locations

1800 Industrial Cir
West Des Moines, IA 50265

1801 Industrial Cir
West Des Moines, IA 50265

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200182400000",
    "number": "1144388414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 66054",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502659408",
            "telephone_number": "515-256-0323",
            "fax_number": "515-537-1051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7725 WISTFUL VISTA DR",
            "address_2": "UNIT 703",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502668032",
            "telephone_number": "515-256-0323",
            "fax_number": "515-537-1051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2008-01-13",
        "status": "A",
        "authorized_official_last_name": "BARKER",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "515-256-0323"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0469429",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK",
            "identifier": "33142",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK",
            "identifier": "36932",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.