Individual provider Active NPI

Shannon Lewis Haus, LMHC

  • Mental Health Counselor
  • Ankeny, IA
National Provider Identifier
1184498073
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
113049 Issued in IA
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

Updated by the provider on Aug 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 ServicesGroup PAC ID 2163953316, 4 clinicians

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

OrganizationSpecialtyStatusNew patients
Haus Therapy Services Mental Health CurrentSince Aug 20, 2024 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

Verify at the official NPI Registry.