Individual provider Active NPI

Amy Lynne Deace

  • Mental Health Counselor
  • Urbandale, IA
National Provider Identifier
1306514492
Registry record updated Sep 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
110677 Issued in IA
Practice address
6200 Aurora Ave Ste 401E
Urbandale, IA 50322-2866
Phone
(515) 331-0303
NPI assigned
Sep 2, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2021

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 110677 IA Primary

Addresses

Primary practice location

6200 Aurora Ave Ste 401E
Urbandale, IA 50322-2866

Mailing address

6200 Aurora Ave Ste 401E
Urbandale, IA 50322-2866
Phone (515) 331-0303

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
I20240513001509 IA Practitioner - Mental Health Counselor 6002257797 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Vermeer Quist Consulting LLCGroup PAC ID 2365725744, 5 clinicians

Practice addresses (Care Compare)

1701 48TH St
Suite 120
West Des Moines, IA 50266-6723
Phone (515) 331-0303

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
110677IAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Vermeer Quist Consulting, LLC CurrentSince Apr 2, 2024 Accepting new patients

Locations

6200 Aurora Ave
Ste 401E
Urbandale, IA 50322
Phone (515) 331-0303

1701 48th St
Ste 120
West Des Moines, IA 50266
Phone (515) 224-1474

Organizations & group practices 1

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": "1630540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630540800000",
    "number": "1306514492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 AURORA AVE STE 401E",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503222866",
            "telephone_number": "515-331-0303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 AURORA AVE STE 401E",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503222866",
            "telephone_number": "515-331-0303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEACE",
        "first_name": "AMY",
        "middle_name": "LYNNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-02",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "110677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Urbandale, IA

Sources for this page

Verify at the official NPI Registry.