Jayde D Achenbach, CADC
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · West Des Moines, IA
NPI 1346972874 · NPPES record last updated Jan 29, 2024
Key facts
- NPI
- 1346972874
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 21117 (IA)
- Practice address
- 1300 Woodland Ave
West Des Moines, IA 50265-2306 - Phone
- (515) 280-3860
- NPI assigned
- Jun 24, 2022
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21117 | IA | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Community Services, Inc. | Current |
Accepting new patients | |
| Inside Out Wellness and Advocacy | Past | Accepting new patients |
Locations
2307 Olive St
Atlantic, IA 50022
Phone (712) 243-2606
1300 Woodland Ave
West Des Moines, IA 50265
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 21117 | IA | Yes |
Addresses
Primary practice location
1300 Woodland Ave
West Des Moines, IA 50265-2306
Mailing address
1300 Woodland Ave
West Des Moines, IA 50265-2306
Phone (515) 280-3860
Other names
- Jayde D Sleeth
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 29, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.