Individual provider Active NPI

Alyssa Coughennower, ARNP, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • West Des Moines, IA
National Provider Identifier
1346960978
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
2022012425 Issued in IA
Practice address
1701 48TH St Ste 260
West Des Moines, IA 50266-6726
Phone
(515) 348-6380
Fax
(515) 452-0565
NPI assigned
Sep 1, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2022012425 IA Primary

Addresses

Primary practice location

1701 48TH St Ste 260
West Des Moines, IA 50266-6726

Mailing address

2222 Waller Ave
Norwalk, IA 50211-2185
Phone (515) 401-8626

Other practice location 1

1070 Deveron Dr
Council Bluffs, IA 51503-1022
Phone (712) 372-5200

Other practice location 2

1960 SW Magazine Rd
Ankeny, IA 50023-2978
Phone (515) 348-6380

Other identifiers 1

IdentifierTypeStateIssuer
G169680OtherIAIBON ARNP LICENSE

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: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220926001148 IA Practitioner - Nurse Practitioner 5092191205 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Iowa Behavioral Associates, LLCGroup PAC ID 2466980321, 11 clinicians
Ikc LLCGroup PAC ID 5294140851, 19 clinicians

Practice addresses (Care Compare)

1701 48TH St
Suite 260
West Des Moines, IA 50266-6726
Phone (515) 348-6380

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2022012425IAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ikc, LLC Psychiatric/Mental Health CurrentSince Jul 1, 2024 Accepting new patients
Iowa Behavioral Associates, LLC Psychiatric/Mental Health CurrentSince Nov 2, 2024 Accepting new patients
Horizon Therapy Group, LLC CurrentSince Mar 14, 2023 Accepting new patients

Locations

1960 SW Magazine Rd
Ankeny, IA 50023
Phone (515) 348-6380

300 W Broadway
Ste 270
Council Bluffs, IA 51503
Phone (712) 256-7511

1701 48th St
Ste 260
West Des Moines, IA 50266
Phone (515) 348-6380

Organizations & group practices 3

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": "1661990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782172800000",
    "number": "1346960978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 WALLER AVE",
            "city": "NORWALK",
            "state": "IA",
            "postal_code": "502112185",
            "telephone_number": "515-401-8626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 48TH ST STE 260",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502666726",
            "telephone_number": "515-348-6380",
            "fax_number": "515-452-0565"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1070 Deveron Dr",
            "address_purpose": "LOCATION",
            "city": "Council Bluffs",
            "state": "IA",
            "postal_code": "515031022",
            "country_code": "US",
            "telephone_number": "712-372-5200",
            "fax_number": "712-458-4656",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1960 SW Magazine Rd",
            "address_purpose": "LOCATION",
            "city": "Ankeny",
            "state": "IA",
            "postal_code": "500232978",
            "country_code": "US",
            "telephone_number": "515-348-6380",
            "fax_number": "515-452-0565",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COUGHENNOWER",
        "first_name": "ALYSSA",
        "credential": "ARNP, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-01",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IA",
            "license": "2022012425",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBON ARNP LICENSE",
            "identifier": "G169680",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Des Moines, IA

Sources for this page

Verify at the official NPI Registry.