Individual provider Active NPI

Katherine Jean Vanblair, PHD

  • Marriage & Family Therapist
  • Davenport, HI
National Provider Identifier
1346209855
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT00166 Issued in IA
Practice address
2102 E 38TH St
Davenport, HI 52807
Phone
(563) 359-4049
NPI assigned
Mar 22, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X LMFT00166 IA Primary

Addresses

Primary practice location

2102 E 38TH St
Davenport, HI 52807

Mailing address

2102 E 38TH St
Davenport, HI 52807
Phone (563) 359-4049

Other identifiers 1

IdentifierTypeStateIssuer
1108750000MedicaidIA

Other names 1

  • Katherine Jean Michelson Former name

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
I20251229002889 IA Practitioner - Marriage and Family Therapist 4981190964 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Des Moines Pastoral Counseling CenterGroup PAC ID 0749272649, 22 clinicians

Practice addresses (Care Compare)

8553 Urbandale Ave
Urbandale, IA 50322-4108
Phone (515) 274-4006

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
00166IAMDHealth Service Psychologist
LMFT00166IAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mind and Spirit Counseling Center CurrentSince Nov 19, 2025 Accepting new patients
Psychology Health Group Marriage & Family Therapist PastSince May 1, 1997 Accepting new patients

Locations

8553 Urbandale Ave
Urbandale, IA 50322
Phone (515) 274-4006

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1142985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1346209855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2102 E 38TH ST",
            "city": "DAVENPORT",
            "state": "HI",
            "postal_code": "52807",
            "telephone_number": "563-359-4049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2102 E 38TH ST",
            "city": "DAVENPORT",
            "state": "HI",
            "postal_code": "52807",
            "telephone_number": "563-359-4049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANBLAIR",
        "first_name": "KATHERINE",
        "middle_name": "JEAN",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-22",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IA",
            "license": "LMFT00166",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1108750000",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "MICHELSON",
            "middle_name": "JEAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Sources for this page

Verify at the official NPI Registry.