Individual provider Active NPI

Juan Pablo Padilla, LMHC

  • Counselor
  • Urbandale, IA
National Provider Identifier
1265924195
Registry record updated May 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
090848 Issued in IA
Practice address
2963 100TH St Ste 3
Urbandale, IA 50322-5513
Phone
(515) 201-6928
NPI assigned
Jun 6, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 090848 IA Primary

Addresses

Primary practice location

2963 100TH St Ste 3
Urbandale, IA 50322-5513

Mailing address

2963 100TH St Ste 3
Urbandale, IA 50322-5513
Phone (515) 201-6928

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240313002712 IA Practitioner - Mental Health Counselor 4587000419 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Texas a & M University System, HSC, College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2963 100TH St
Suite 3
Urbandale, IA 50322-5513
Phone (515) 201-6928

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pax Psychotherapy, PLLC CurrentSince Oct 1, 2024 Accepting new patients
Mind and Spirit Counseling Center CurrentSince Jan 24, 2024 Accepting new patients

Locations

2963 100th St
Ste 3
Urbandale, IA 50322
Phone (515) 201-6928

8553 Urbandale Ave
Urbandale, IA 50322
Phone (515) 274-4006

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1528243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747785600000",
    "number": "1265924195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2963 100TH ST STE 3",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503225513",
            "telephone_number": "515-201-6928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2963 100TH ST STE 3",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503225513",
            "telephone_number": "515-201-6928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADILLA",
        "first_name": "JUAN",
        "middle_name": "PABLO",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-06",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IA",
            "license": "090848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Urbandale, IA

Sources for this page

Verify at the official NPI Registry.