Active NPI
Alyssa Coughennower, ARNP, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- West Des Moines, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 2022012425
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G169680 | Other | IA | IBON 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2022012425 | IA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ikc, LLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Iowa Behavioral Associates, LLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Horizon Therapy Group, LLC | Current | 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.
-
- Adult Mental Health Clinic/Center
- West Des Moines, IA
- NPI 1801631692
Psychiatric/Mental Health
-
- Counselor
- Council Bluffs, IA
- NPI 1457305518
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.