Individual provider Active NPI

Devon Gilliland-Minard, L.I.S.W

  • Social Worker
  • West Des Moines, IA
National Provider Identifier
1154633741
Registry record updated Aug 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
007523 Issued in IA
Practice address
1200 Valley West Dr Ste 612
West Des Moines, IA 50266-1907
Phone
(515) 309-2113
Fax
(515) 864-0537
NPI assigned
Jul 12, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 007523 IA Primary

Addresses

Primary practice location

1200 Valley West Dr Ste 612
West Des Moines, IA 50266-1907

Mailing address

1200 Valley West Dr Ste 612
West Des Moines, IA 50266-1907
Phone (515) 309-2113

Other identifiers 2

IdentifierTypeStateIssuer
0469676MedicaidIA
1001123MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
007523IAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Pathways Counseling, LLC Social Worker CurrentSince Sep 3, 2025 Accepting new patients

Locations

1200 Valley West Dr
Ste 612
West Des Moines, IA 50266
Phone (515) 309-2113

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1278892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756166400000",
    "number": "1154633741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 VALLEY WEST DR STE 612",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502661907",
            "telephone_number": "515-309-2113",
            "fax_number": "515-864-0537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 VALLEY WEST DR STE 612",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502661907",
            "telephone_number": "515-309-2113",
            "fax_number": "515-864-0537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLILAND-MINARD",
        "first_name": "DEVON",
        "credential": "L.I.S.W",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-12",
        "last_updated": "2025-08-26",
        "certification_date": "2025-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IA",
            "license": "007523",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0469676",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1001123",
            "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 Aug 26, 2025; 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.