Organization Active NPI

Kim Comer LLC

  • Clinical Social Worker
  • West Des Moines, IA
National Provider Identifier
1215741368
Registry record updated Feb 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
KIM COMER LLC
Doing business as
Kim Comer LLC
Practice address
939 Office Park Rd Ste 200
West Des Moines, IA 50265-2538
Phone
(515) 822-0038
NPI assigned
Feb 6, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2025

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

Authorized official

Name
Ms. Kim J Comer, LISW
Title
Owner/Director
Phone
(515) 822-0038

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

939 Office Park Rd Ste 200
West Des Moines, IA 50265-2538

Mailing address

2409 Boston Ave
Des Moines, IA 50310-6242
Phone (515) 822-0038

Other names 1

  • Kim Comer LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251113000645 IA Part B Supplier - Clinic/Group Practice 9234620691 Receives reassigned benefits from 1 practitioner
Practice locations: West Des Moines, IA

National Provider Directory

National Provider Directory

Locations

1601 22nd St
Ste 300
West Des Moines, IA 50266
Phone (515) 822-0038

939 Office Park Rd
Ste 200
West Des Moines, IA 50265
Phone (515) 288-5570

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1738800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738800000000",
    "number": "1215741368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2409 BOSTON AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503106242",
            "telephone_number": "515-822-0038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "939 OFFICE PARK RD STE 200",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502652538",
            "telephone_number": "515-822-0038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIM COMER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-06",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A",
        "authorized_official_last_name": "COMER",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "515-822-0038",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kim Comer LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.