Organization Active NPI

Two Rivers Psychological Services, PC

  • Social Worker
  • Des Moines, IA
National Provider Identifier
1194819128
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
00187 Issued in IA
Legal business name
TWO RIVERS PSYCHOLOGICAL SERVICES, PC
Practice address
4900 University Ave Ste 210
Des Moines, IA 50311-3342
Phone
(515) 277-5989
Fax
(515) 277-6180
NPI assigned
Oct 3, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Brenda S Larsen
Title
Business Manager
Phone
(319) 865-3027

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 00846 IA
Social Worker 104100000X 00187 IA Primary

Addresses

Primary practice location

4900 University Ave Ste 210
Des Moines, IA 50311-3342

Mailing address

4900 University Ave Ste 210
Des Moines, IA 50311-3342
Phone (515) 277-5989

National Provider Directory

National Provider Directory

Locations

4900 University Ave
Ste 210
Des Moines, IA 50311
Phone (515) 277-5989

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1194819128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 UNIVERSITY AVE STE 210",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503113342",
            "telephone_number": "515-277-5989",
            "fax_number": "515-277-6180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 UNIVERSITY AVE STE 210",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503113342",
            "telephone_number": "515-277-5989",
            "fax_number": "515-277-6180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWO RIVERS PSYCHOLOGICAL SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "LARSEN",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "319-865-3027"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IA",
            "license": "00846",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IA",
            "license": "00187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.