NPIMap

Organization Active NPI

West Central Mental Health Center, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Adel, IA
National Provider Identifier
1316029705
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
WEST CENTRAL MENTAL HEALTH CENTER, INC.
Practice address
2111 W Green St
Adel, IA 50003-1637
Phone
(515) 993-4535
Fax
(515) 993-3845
NPI assigned
Oct 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Ms. Ashley R. Kuckelman, BSW
Title
Cao
Phone
(515) 993-4535

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X IA Primary

Addresses

Primary practice location

2111 W Green St
Adel, IA 50003-1637

Mailing address

PO Box 7
Adel, IA 50003-0007
Phone (515) 993-4535

Other identifiers 2

IdentifierTypeStateIssuer
0074476MedicaidIA
0742825MedicaidIA

National Provider Directory

National Provider Directory

Locations

2111 Greene St
Adel, IA 50003
Phone (515) 993-4514

117 NW Hayes St
Greenfield, IA 50849
Phone (515) 993-4535

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1316029705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7",
            "city": "ADEL",
            "state": "IA",
            "postal_code": "500030007",
            "telephone_number": "515-993-4535",
            "fax_number": "515-993-3845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2111 W GREEN ST",
            "city": "ADEL",
            "state": "IA",
            "postal_code": "500031637",
            "telephone_number": "515-993-4535",
            "fax_number": "515-993-3845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST CENTRAL MENTAL HEALTH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "KUCKELMAN",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "CAO",
        "authorized_official_telephone_number": "515-993-4535",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "IA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0074476",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0742825",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Adel, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.