Real Connections Retreats LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

REAL CONNECTIONS RETREATS LLC

Practice address

2540 106TH St Ste 202
Urbandale, IA 50322-3736

Phone

(515) 635-1805

NPI assigned

Sep 9, 2024

Last updated

Sep 9, 2024By 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

Monique Elgersma, LMFTNPI 1114303484

Title

Owner, Coo

Phone

(515) 329-6336

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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.

• Monique I Elgersma, LMFT

  • Marriage & Family Therapist
  • Urbandale, IA
  • NPI 1114303484
  NPD Authorized official
• Alyssa Elgersma

  • Mental Health Counselor
  • Urbandale, IA
  • NPI 1467253195
  NPD
• Richard Elgersma, LMFT, M. LITT

  • Marriage & Family Therapist
  • Urbandale, IA
  • NPI 1790151298
  NPD

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

{
    "created_epoch": "1725840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725840000000",
    "number": "1306671326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2540 106TH ST STE 202",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503223736",
            "telephone_number": "515-635-1805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2540 106TH ST STE 202",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503223736",
            "telephone_number": "515-635-1805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REAL CONNECTIONS RETREATS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-09",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-08",
        "status": "A",
        "authorized_official_last_name": "ELGERSMA",
        "authorized_official_first_name": "MONIQUE",
        "authorized_official_title_or_position": "OWNER, COO",
        "authorized_official_telephone_number": "515-329-6336",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Michael Ralston, M.D.
• Nicole Ramirez, DC
• Rapha House Health LLC
• Abby Marie Ratzlaff, PHARMD
• Madeleine Ray
• Jasey Rebarcak
• Benjamin Reed, DPT
• Kelly Reed, DO
• Monique C Reese, MSN, ARNP, FNP-C
• Refinehealth LLC (refine chiropractic)

• Adult Mental Health Clinic/Center in Urbandale, IA
• Providers in Urbandale, IA by specialty
• Adult Mental Health Clinic/Center in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.