NPIMap

Organization Active NPI

Midwest Mental Health LLC

Doing business as Midwest Mental Health

  • Mental Health Counselor
  • Shenandoah, IA
National Provider Identifier
1144695040
Registry record updated Dec 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
077004 Issued in IA
Legal business name
MIDWEST MENTAL HEALTH LLC
Doing business as
Midwest Mental Health
Practice address
523 W Sheridan Ave
Shenandoah, IA 51601-1705
Phone
(712) 246-0159
NPI assigned
Dec 3, 2015
Last updated
Dec 3, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2015

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

Authorized official

Name
Kindra Anisa Weston, M.S., LMHC, NCCNPI 1174915359
Title
Owner/Mental Health Counselor
Phone
(712) 350-3771

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)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 077004 IA Primary

Addresses

Primary practice location

523 W Sheridan Ave
Shenandoah, IA 51601-1705

Mailing address

PO Box 115
Shenandoah, IA 51601-0115
Phone (712) 246-0159

Other names 1

  • Midwest Mental Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170727001947 IA Part B Supplier - Clinic/Group Practice 5991075699 Receives reassigned benefits from 12 practitioners
Practice locations: Red Oak, IA; Shenandoah, IA

National Provider Directory

National Provider Directory

Locations

1977 G Ave
Red Oak, IA 51566
Phone (712) 623-6349

523 W Sheridan Ave
Shenandoah, IA 51601
Phone (712) 246-0159

600 W Sheridan Ave
Shenandoah, IA 51601
Phone (712) 246-0159

Practitioners & affiliated clinicians

Practitioners 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1449100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449100800000",
    "number": "1144695040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 115",
            "city": "SHENANDOAH",
            "state": "IA",
            "postal_code": "516010115",
            "telephone_number": "712-246-0159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "523 W SHERIDAN AVE",
            "city": "SHENANDOAH",
            "state": "IA",
            "postal_code": "516011705",
            "telephone_number": "712-246-0159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST MENTAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-03",
        "last_updated": "2015-12-03",
        "status": "A",
        "authorized_official_last_name": "WESTON",
        "authorized_official_first_name": "KINDRA",
        "authorized_official_middle_name": "ANISA",
        "authorized_official_title_or_position": "OWNER/MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "712-350-3771",
        "authorized_official_credential": "M.S., LMHC, NCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "077004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Midwest Mental Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Shenandoah, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2015; 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.