Orchard Place

Primary specialty

Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X

License

77PM01 Issued in IA

Legal business name

ORCHARD PLACE

Practice address

925 SW Porter Ave
Des Moines, IA 50315-7235

Phone

(515) 285-6781

NPI assigned

Oct 25, 2005

Last updated

Aug 22, 2020By 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

Valerie Saltsgaver

Title

Cfo

Phone

(515) 246-3501

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

NPI to CCN mapping 3

The Medicare certification numbers (CCNs) connected to NPI 1245220938. Details of each certification follow.

• CCN 16L016 Psychiatric residential treatment facility · Active · Name & address match · Details
• CCN 16L018 Psychiatric residential treatment facility · Active · Name & address match · Details
• CCN 16L038 Psychiatric residential treatment facility · Active · Name & address match · Details

Psychiatric residential treatment facility certification: CCN 16L016

Legal name

ORCHARD PLACE-BRIGHT HOUSE

Certification status

Active

Provider type (POS)

Psychiatric residential treatment facility

Participating since

Sep 1, 2003

Last certification

May 5, 2023

Beds

24

Ownership / control type

For profit – individual

Facility address

925 SW Porter Avenue
Des Moines, IA 50315

Psychiatric residential treatment facility certification: CCN 16L018

Legal name

ORCHARD PLACE-JACOBSON HOUSE

Certification status

Active

Provider type (POS)

Psychiatric residential treatment facility

Participating since

Sep 1, 2003

Last certification

May 5, 2023

Beds

20

Ownership / control type

For profit – individual

Facility address

925 SW Porter Avenue
Des Moines, IA 50315

Psychiatric residential treatment facility certification: CCN 16L038

Legal name

ORCHARD PLACE-SHIFFLER HOUSE

Certification status

Active

Provider type (POS)

Psychiatric residential treatment facility

Participating since

Sep 1, 2003

Last certification

May 5, 2023

Beds

20

Ownership / control type

For profit – individual

Facility address

925 SW Porter
Des Moines, IA 50315

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Orchard Place4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Orchard Place

  dba Child Guidance Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Des Moines, IA
  • NPI 1063402618
  NPD tax ID
• Orchard Place

  dba PACE Juvenile Center

  • Adolescent and Children Mental Health Clinic/Center
  • Des Moines, IA
  • NPI 1174513717
  NPD tax ID
• Orchard Place

  • Psychiatric Residential Treatment Facility
  • Des Moines, IA
  • NPI 1902119118
  NPD tax ID

Locations

Practitioners 39

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.

• Kayla Bell

  • Mental Health Counselor
  • Des Moines, IA
  • NPI 1245887850
  NPD (past)
• Thomas Bern

  • Mental Health Counselor
  • Des Moines, IA
  • NPI 1245873041
  NPD (past)
• Alison Burris

  • Mental Health Counselor
  • Des Moines, IA
  • NPI 1538875174
  NPD (past)
• Neiaira Burt

  • Mental Health Counselor
  • Des Moines, IA
  • NPI 1396562013
  NPD (past)
• Cassandra Carvajal

  • Clinical Social Worker
  • Des Moines, IA
  • NPI 1912491952
  NPD (past)
• Karen Cordes, LMHC

  • Mental Health Counselor
  • Des Moines, IA
  • NPI 1629168836
  NPD (past)
• Mark Cowan, LISW

  • Clinical Social Worker
  • Des Moines, IA
  • NPI 1609966811
  NPD (past)
• Avalon Dohm

  • Mental Health Counselor
  • Des Moines, IA
  • NPI 1831974625
  NPD (past)
• Shea Eddy

  • Mental Health Counselor
  • Des Moines, IA
  • NPI 1306936513
  NPD (past)
• Connie S Frank

  • Mental Health Counselor
  • Des Moines, IA
  • NPI 1962725424
  NPD (past)
• Sarah Jo Garcia, LMSW

  • Clinical Social Worker
  • Johnston, IA
  • NPI 1336580166
  NPD (past)
• Thomas Garner

  • Mental Health Counselor
  • Des Moines, IA
  • NPI 1942390166
  NPD (past)

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

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245220938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 5TH AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503091315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 SW PORTER AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503157235",
            "telephone_number": "515-285-6781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORCHARD PLACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SALTSGAVER",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "515-246-3501"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "IA",
            "license": "77PM01",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012369",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "64100",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Optimae Rehabilitation Services LLC
• Opulence Homes & Services (Supportive Solutions)
• Oral Surgeons, P.C.
• Orchard Place (Child Guidance Center)
• Orchard Place (PACE Juvenile Center)
• Orchard Place
• Juliana Ordaz, DO
• Robey Delmar Orewiler, PA
• Obehi Cynthia Oriaifo, DNP, FNP-BC, DCNP
• Paula Grace Ornelas, PHARMD

• Psychiatric Residential Treatment Facility in Des Moines, IA
• Providers in Des Moines, IA by specialty
• Psychiatric Residential Treatment Facility in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.