Active NPI
Shannon Lewis Haus, LMHC
- Mental Health Counselor
- Ankeny, IA
National Provider Identifier
1184498073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 113049
- Practice address
- 1605 N Ankeny Blvd Ste 110
Ankeny, IA 50023-4163 - Phone
- (515) 316-5594
- Fax
- (515) 532-5401
- NPI assigned
- Nov 10, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 113049 | IA | Primary |
Addresses
Primary practice location
1605 N Ankeny Blvd Ste 110
Ankeny, IA 50023-4163
Mailing address
12318 NE 22ND St
Ankeny, IA 50021-9196
Phone (515) 954-6886
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240930001927 | IA | Practitioner - Mental Health Counselor | 3072044221 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Haus Therapy Services
Practice addresses (Care Compare)
1370 NW 18TH St
Suite 104
Ankeny, IA 50023-9243
Phone (515) 316-5549
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Haus Therapy Services | Mental Health | Current | Accepting new patients |
Locations
1605 N Ankeny Blvd
Ste 110
Ankeny, IA 50023
Phone (515) 316-5549
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": "1699574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724112000000",
"number": "1184498073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12318 NE 22ND ST",
"city": "ANKENY",
"state": "IA",
"postal_code": "500219196",
"telephone_number": "515-954-6886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1605 N ANKENY BLVD STE 110",
"city": "ANKENY",
"state": "IA",
"postal_code": "500234163",
"telephone_number": "515-316-5594",
"fax_number": "515-532-5401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAUS",
"first_name": "SHANNON",
"middle_name": "LEWIS",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-11-10",
"last_updated": "2024-08-20",
"certification_date": "2024-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IA",
"license": "113049",
"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 Aug 20, 2024; 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.