Active NPI
Abraham Robert Goetz, LISW
- Social Worker
- West Des Moines, IA
National Provider Identifier
1205508835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 098266
- Practice address
- 1001 Office Park Rd Ste 115
West Des Moines, IA 50265-2509 - Phone
- (515) 207-5130
- NPI assigned
- Oct 1, 2021
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 098266 | IA | Primary |
Addresses
Primary practice location
1001 Office Park Rd Ste 115
West Des Moines, IA 50265-2509
Mailing address
3028 SW 39TH St
Des Moines, IA 50321-1334
Phone (515) 207-5130
Other practice location 1
213 N Ankeny Blvd Ste 100
Ankeny, IA 50023-1749
Phone (515) 705-0174
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 29, 2024 through Jan 29, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 098266 | IA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iowa Therapy Solutions, PLLC | Current | Accepting new patients | |
| Full Heart Family Therapy and Renewal Center LLC | Past | Accepting new patients | |
| Choices Therapy Services, LLC | Past | Accepting new patients | |
| Choices Therapy Services, LLC | Past | Accepting new patients |
Locations
1001 Office Park Rd
Ste 115
West Des Moines, IA 50265
Phone (515) 207-5130
Organizations & group practices 4
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.
-
- Clinical Social Worker
- West Des Moines, IA
- NPI 1316714819
-
- Psychiatric/Mental Health Nurse Practitioner
- Des Moines, IA
- NPI 1700471505
-
- Mental Health Counselor
- Des Moines, IA
- NPI 1932763521
-
- Marriage & Family Therapist
- Ankeny, IA
- NPI 1679048466
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701820800000",
"number": "1205508835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3028 SW 39TH ST",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503211334",
"telephone_number": "515-207-5130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 OFFICE PARK RD STE 115",
"city": "WEST DES MOINES",
"state": "IA",
"postal_code": "502652509",
"telephone_number": "515-207-5130"
}
],
"practiceLocations": [
{
"address_1": "213 N Ankeny Blvd Ste 100",
"address_purpose": "LOCATION",
"city": "Ankeny",
"state": "IA",
"postal_code": "500231749",
"country_code": "US",
"telephone_number": "515-705-0174",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOETZ",
"first_name": "ABRAHAM",
"middle_name": "ROBERT",
"credential": "LISW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-10-01",
"last_updated": "2023-12-06",
"certification_date": "2023-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IA",
"license": "098266",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.