NPIMap

Organization Active NPI

Innovative Counseling & Consulting, Inc.

  • Mental Health Counselor
  • Des Moines, IA
National Provider Identifier
1275873499
Registry record updated Jan 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
INNOVATIVE COUNSELING & CONSULTING, INC.
Practice address
2340 Euclid Ave
Des Moines, IA 50310-5702
Phone
(515) 235-5224
Fax
(866) 672-0706
NPI assigned
Feb 25, 2013
Last updated
Jan 22, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2024

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

Authorized official

Name
Byron Jarrett
Title
Executive Director
Phone
(515) 235-5224

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X IA Primary
Community/Behavioral Health Agency 251S00000X NU
Community/Behavioral Health Agency 251S00000X IA

Addresses

Primary practice location

2340 Euclid Ave
Des Moines, IA 50310-5702

Mailing address

1063 14TH PL Ste a
Des Moines, IA 50314-1245
Phone (515) 235-5224

Other practice location 1

6949 University Ave.
Windsor Heights, IA 50324
Phone (515) 321-2082

Other identifiers 1

IdentifierTypeStateIssuer
600884423MedicaidIA

National Provider Directory

National Provider Directory

Locations

1063 14th Pl
Ste A
Des Moines, IA 50314
Phone (515) 235-5224

6949 University Ave
Windsor Heights, IA 50324
Phone (515) 321-2082

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1361750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705881600000",
    "number": "1275873499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1063 14TH PL STE A",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503141245",
            "telephone_number": "515-235-5224",
            "fax_number": "866-672-0706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2340 EUCLID AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503105702",
            "telephone_number": "515-235-5224",
            "fax_number": "866-672-0706"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6949 University Ave.",
            "address_purpose": "LOCATION",
            "city": "Windsor Heights",
            "state": "IA",
            "postal_code": "50324",
            "country_code": "US",
            "telephone_number": "515-321-2082",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INNOVATIVE COUNSELING & CONSULTING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-25",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A",
        "authorized_official_last_name": "JARRETT",
        "authorized_official_first_name": "BYRON",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "515-235-5224"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "600884423",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; 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.