Active NPI
Gary S Selof
- Marriage & Family Therapist
- Ankeny, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 000417
- Practice address
- 1850 SW Plaza Shops LN Ste D
Ankeny, IA 50023-7168 - Phone
- (515) 508-1150
- NPI assigned
- Jul 28, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 000417 | IA | |
| Marriage & Family Therapist | 106H00000X | 000417 | IA | Primary |
Addresses
Primary practice location
1850 SW Plaza Shops LN Ste D
Ankeny, IA 50023-7168
Mailing address
1401 Westside Dr
Polk City, IA 50226-1014
Phone (515) 971-3792
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Other, 2012
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
2540 106TH St
Suite 101
Urbandale, IA 50322-3736
Phone (515) 949-6918
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000417 | IA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ankeny Family Counseling | Mental Health | Current | Accepting new patients |
| New Hope Counseling, Coaching & Consulting P.C. | Mental Health | Current | Accepting new patients |
Locations
1850 SW Plaza Shops Ln
Ste D
Ankeny, IA 50023
Phone (515) 228-6596
1370 NW 114th St
Ste 309
Clive, IA 50325
Phone (515) 949-6918
113 Avenue O W
Fort Dodge, IA 50501
Phone (515) 332-8154
4502 Avenue O
Ste 8
Fort Madison, IA 52627
2540 106th St
Ste 101
Urbandale, IA 50322
Phone (515) 276-5543
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.
-
- Mental Health Counselor
- Urbandale, IA
- NPI 1477719268
-
- Mental Health Counselor
- Ankeny, IA
- NPI 1053804617
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735689600000",
"number": "1154094878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 WESTSIDE DR",
"city": "POLK CITY",
"state": "IA",
"postal_code": "502261014",
"telephone_number": "515-971-3792"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1850 SW PLAZA SHOPS LN STE D",
"city": "ANKENY",
"state": "IA",
"postal_code": "500237168",
"telephone_number": "515-508-1150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SELOF",
"first_name": "GARY",
"middle_name": "S",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-07-28",
"last_updated": "2025-01-01",
"certification_date": "2025-01-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IA",
"license": "000417",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "IA",
"license": "000417",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ankeny, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.