Individual provider Active NPI

Ruth Ann Vandentop, LMHC

  • Mental Health Counselor
  • Indianola, IA
National Provider Identifier
1184852873
Registry record updated Dec 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
001149 Issued in IA
Practice address
117 N Buxton St
Indianola, IA 50125-2412
Phone
(515) 962-5561
NPI assigned
Jul 1, 2009
Last updated
Dec 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0015390 CO
Counselor 101Y00000X 001149 IA
Mental Health Counselor 101YM0800X 001149 IA Primary

Addresses

Primary practice location

117 N Buxton St
Indianola, IA 50125-2412

Mailing address

117 N Buxton St
Indianola, IA 50125-2412
Phone (515) 962-5561

Other practice location 1

701 N Howard St
Indianola, IA 50125-1829
Phone (515) 962-5561

Other identifiers 1

IdentifierTypeStateIssuer
001149OtherIASTATE OF IOWA LICENSE NUMBER

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
I20250317000202 IA Practitioner - Mental Health Counselor 9537681820 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

117 N Buxton St
Indianola, IA 50125-2412
Phone (515) 962-5561

701 N Howard St
Indianola, IA 50125-1829

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
001149IAMDMental Health Counselor
0015390COMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Peace of Mind Counseling Services, LLC Mental Health CurrentSince Nov 25, 2024 Accepting new patients

Locations

117 N Buxton St
Indianola, IA 50125
Phone (515) 480-5713

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1246406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734652800000",
    "number": "1184852873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 N BUXTON ST",
            "city": "INDIANOLA",
            "state": "IA",
            "postal_code": "501252412",
            "telephone_number": "515-962-5561",
            "fax_number": "844-588-5937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 N BUXTON ST",
            "city": "INDIANOLA",
            "state": "IA",
            "postal_code": "501252412",
            "telephone_number": "515-962-5561"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 N Howard St",
            "address_purpose": "LOCATION",
            "city": "Indianola",
            "state": "IA",
            "postal_code": "501251829",
            "country_code": "US",
            "telephone_number": "515-962-5561",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANDENTOP",
        "first_name": "RUTH",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-01",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "0015390",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IA",
            "license": "001149",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "001149",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF IOWA LICENSE NUMBER",
            "identifier": "001149",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianola, IA

Sources for this page

Verify at the official NPI Registry.