Organization Active NPI

Pink Couch Wellness

  • Counselor
  • Grimes, IA
National Provider Identifier
1316637275
Registry record updated May 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
PINK COUCH WELLNESS
Practice address
1220 NE Station Xing Ste 114
Grimes, IA 50111-8013
Phone
(515) 680-6516
NPI assigned
May 12, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2023

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

Authorized official

Name
Vanessa Andersen, LISWNPI 1861839631
Title
Owner
Phone
(515) 380-6516

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101Y00000X Primary

Addresses

Primary practice location

1220 NE Station Xing Ste 114
Grimes, IA 50111-8013

Mailing address

1220 NE Station Xing Ste 114
Grimes, IA 50111-8013
Phone (515) 680-6516

National Provider Directory

National Provider Directory

Locations

1220 NE Station Xing
Ste 114
Grimes, IA 50111
Phone (515) 380-6516

Practitioners & affiliated clinicians

Practitioners 2

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": "1683849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683849600000",
    "number": "1316637275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 NE STATION XING STE 114",
            "city": "GRIMES",
            "state": "IA",
            "postal_code": "501118013",
            "telephone_number": "515-680-6516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 NE STATION XING STE 114",
            "city": "GRIMES",
            "state": "IA",
            "postal_code": "501118013",
            "telephone_number": "515-680-6516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINK COUCH WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-12",
        "last_updated": "2023-05-12",
        "certification_date": "2023-05-12",
        "status": "A",
        "authorized_official_last_name": "ANDERSEN",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "515-380-6516",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grimes, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2023; 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.