Poeppe Expert Psychological Services PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

POEPPE EXPERT PSYCHOLOGICAL SERVICES PLLC

Practice address

12951 University Ave Ste 204
Clive, IA 50325-8293

Phone

(515) 575-3180

NPI assigned

Oct 12, 2020

Last updated

May 18, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mark Poeppe, PSY.DNPI 1962980771

Title

Owner

Phone

(515) 320-4128

Specialties & licenses 3

Addresses

Locations

Practitioners 1

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.

• Mark R Poeppe, PSY.D.

  • Psychologist
  • Clive, IA
  • NPI 1962980771
  Authorized official Same address or phone

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

{
    "created_epoch": "1602460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652832000000",
    "number": "1235737362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12951 UNIVERSITY AVE STE 204",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503258293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12951 UNIVERSITY AVE STE 204",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503258293",
            "telephone_number": "515-575-3180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POEPPE EXPERT PSYCHOLOGICAL SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-12",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A",
        "authorized_official_last_name": "POEPPE",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "515-320-4128",
        "authorized_official_credential": "PSY.D"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas Raymond Pick, DDS
• Molly Anne Pieper
• Todd Randall Pietig, O.D.
• Kate Pithan, PA-C
• Shana Plambeck
• Mark R Poeppe, PSY.D.
• Lily Pokornowski
• Possibilities Therapy LLC
• Benjamin Pottebaum, D.O.
• Ethan Pottebaum, DC

• Mental Health Counselor in Clive, IA
• Providers in Clive, 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 May 18, 2022; 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.