Individual provider Active NPI

Daniel E Chavarria, LMHC

  • Mental Health Counselor
  • Ames, IA
National Provider Identifier
1295211670
Registry record updated Feb 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
082656 Issued in IA
Practice address
614 Billy Sunday Rd Ste 100
Ames, IA 50010-8048
Phone
(515) 337-1764
NPI assigned
Jul 18, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 082656 IA Primary

Addresses

Primary practice location

614 Billy Sunday Rd Ste 100
Ames, IA 50010-8048

Mailing address

1421 13TH St
Des Moines, IA 50314-2335
Phone (515) 201-5008

Other practice location 1

2340 Euclid Ave
Des Moines, IA 50310-5702
Phone (515) 263-0019

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
082656IAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Wellness Endeavors Counseling, LLC Current Accepting new patients
Clear Brook Counseling Professionals, LLC Mental Health CurrentSince Jun 1, 2024 Accepting new patients

Locations

614 Billy Sunday Rd
Ste 100
Ames, IA 50010
Phone (515) 337-0480

2425 N Ankeny Blvd
Ste 106
Ankeny, IA 50023
Phone (515) 489-4602

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": "1531872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706832000000",
    "number": "1295211670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1421 13TH ST",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503142335",
            "telephone_number": "515-201-5008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 BILLY SUNDAY RD STE 100",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500108048",
            "telephone_number": "515-337-1764"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2340 Euclid Ave",
            "address_purpose": "LOCATION",
            "city": "Des Moines",
            "state": "IA",
            "postal_code": "503105702",
            "country_code": "US",
            "telephone_number": "515-263-0019",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAVARRIA",
        "first_name": "DANIEL",
        "middle_name": "E",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-18",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "082656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ames, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.