NPIMap

Organization Active NPI

Optimae Lifeservices, Inc.

  • Mental Health Counselor
  • Ames, IA
National Provider Identifier
1407393259
Registry record updated Jan 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
850671 Issued in IA
Legal business name
OPTIMAE LIFESERVICES, INC.
Practice address
124 S Hazel Ave
Ames, IA 50010-5952
Phone
(515) 956-2600
Fax
(515) 956-2601
NPI assigned
Jan 31, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2017

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

Authorized official

Name
Mr. William Dodds
Title
President
Phone
(515) 283-1230

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 850670 IA
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 850672 IA
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 850671 IA Primary

Addresses

Primary practice location

124 S Hazel Ave
Ames, IA 50010-5952

Mailing address

301 W Burlington Ave
Fairfield, IA 52556-3242
Phone (641) 472-1684

Other identifiers 1

IdentifierTypeStateIssuer
0272021MedicaidIA

National Provider Directory

National Provider Directory
Tax ID family
Rescareinc45 organizations share this tax ID, including this one

Other organizations with this tax ID 44

Organizations that report the same tax identification number in the National Provider Directory.

View all 44

NPI Registry JSON

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

{
    "created_epoch": "1485820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485820800000",
    "number": "1407393259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 W BURLINGTON AVE",
            "city": "FAIRFIELD",
            "state": "IA",
            "postal_code": "525563242",
            "telephone_number": "641-472-1684",
            "fax_number": "641-472-4609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 S HAZEL AVE",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500105952",
            "telephone_number": "515-956-2600",
            "fax_number": "515-956-2601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAE LIFESERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-31",
        "last_updated": "2017-01-31",
        "status": "A",
        "authorized_official_last_name": "DODDS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "515-283-1230",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "850670",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "850672",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "850671",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0272021",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ames, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.