Charles Saunders

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

115272 Issued in IA

Practice address

9105 Northpark Dr
Johnston, IA 50131-4807

Phone

(515) 984-0225

Fax

(515) 984-0226

NPI assigned

Oct 30, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Charlie Saunders Other name

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

Specialty

Mental Health Counselor

Education

Vanderbilt University School of Medicine, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Willow Grove Therapy Group LLCGroup PAC ID 9931464468, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Willow Grove Therapy Group LLC

  • Clinical Psychologist
  • Johnston, IA
  • NPI 1659873727
  Medicare reassignment Care Compare group NPD
• Julie McClatchey, Lisw, PC

  • Adult Mental Health Clinic/Center
  • West Des Moines, IA
  • NPI 1205506458
  NPD (past)

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

{
    "created_epoch": "1730246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1205658267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9105 NORTHPARK DR",
            "city": "JOHNSTON",
            "state": "IA",
            "postal_code": "501314807",
            "telephone_number": "515-984-0225",
            "fax_number": "515-984-0226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9105 NORTHPARK DR",
            "city": "JOHNSTON",
            "state": "IA",
            "postal_code": "501314807",
            "telephone_number": "515-984-0225",
            "fax_number": "515-984-0226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAUNDERS",
        "first_name": "CHARLES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-10-30",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "115272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHARLIE",
            "last_name": "SAUNDERS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Dorris Denese Sanden, OT
• Nathan Sanders, DPT
• Tiara Sank
• Sarah Price LLC
• Mohammedhasan I Sarawan, M.B., B.S.
• Bobbi Lynn Schaben, MOTR-L
• Nicole Scharn
• Leora Mae Scherz, MS, CCC-SLP
• Michaela Lee Scheuermann, PSYD
• Veronica Irene Schiltz, D.C.

• Mental Health Counselor in Johnston, IA
• Providers in Johnston, IA by specialty
• Mental Health Counselor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.