Individual provider Active NPI

Holly Ann Conlee, LMHC, NCC

  • Professional Counselor
  • West Des Moines, IA
National Provider Identifier
1386875425
Registry record updated Sep 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
3408 Woodland Ave Ste 102
West Des Moines, IA 50266-6504
Phone
(515) 528-7856
Fax
(515) 528-7866
NPI assigned
Aug 6, 2009
Last updated
Sep 7, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Professional Counselor 101YP2500X IA Primary

Addresses

Primary practice location

3408 Woodland Ave Ste 102
West Des Moines, IA 50266-6504

Mailing address

3215 NE 5TH LN
Ankeny, IA 50021-8137
Phone (319) 601-9838

Other identifiers 1

IdentifierTypeStateIssuer
0715802MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Holly a Conlee LMHC PLLC Professional CurrentSince Nov 16, 2021 Accepting new patients
Therapy Group, Inc. Mental Health PastSince Sep 15, 2016 Accepting new patients

Locations

3408 Woodland Ave
Ste 102
West Des Moines, IA 50266
Phone (515) 225-2015

939 Office Park Rd
Ste 310
West Des Moines, IA 50265
Phone (515) 771-7852

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": "1249516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630972800000",
    "number": "1386875425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3215 NE 5TH LN",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500218137",
            "telephone_number": "319-601-9838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3408 WOODLAND AVE STE 102",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502666504",
            "telephone_number": "515-528-7856",
            "fax_number": "515-528-7866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONLEE",
        "first_name": "HOLLY",
        "middle_name": "ANN",
        "credential": "LMHC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-06",
        "last_updated": "2021-09-07",
        "certification_date": "2021-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0715802",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Des Moines, IA

Sources for this page

Verify at the official NPI Registry.