Individual provider Active NPI

Kerry L Anderson, EDD LMHC PLLC

  • Mental Health Counselor
  • Des Moines, IA
National Provider Identifier
1184760977
Registry record updated Aug 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
00042 Issued in IA
Practice address
2600 Grand Ave Ste 234
Des Moines, IA 50312-5300
Phone
(515) 274-6613
Fax
(515) 962-1625
NPI assigned
Jan 29, 2007
Last updated
Aug 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2025

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 00042 IA Primary

Addresses

Primary practice location

2600 Grand Ave Ste 234
Des Moines, IA 50312-5300

Mailing address

2600 Grand Ave Ste 234
Des Moines, IA 50312-5300
Phone (515) 274-6613

Other names 1

  • Dr. Kerry L Anderson Professional name

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
I20240222001410 IA Practitioner - Mental Health Counselor 9537503107 Practice locations: Des Moines, IA

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2600 Grand Ave
Suite 234
Des Moines, IA 50312-5300
Phone (515) 274-6613

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754006400000",
    "number": "1184760977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 GRAND AVE STE 234",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503125300",
            "telephone_number": "515-274-6613",
            "fax_number": "515-962-1625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 GRAND AVE STE 234",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503125300",
            "telephone_number": "515-274-6613",
            "fax_number": "515-962-1625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "KERRY",
        "middle_name": "L",
        "credential": "EDD LMHC PLLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2025-08-01",
        "certification_date": "2025-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "00042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KERRY",
            "last_name": "ANDERSON",
            "middle_name": "L",
            "prefix": "DR.",
            "credential": "EDD LMHC PLLC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.