Mary A McKinnell, LMHC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

107880 Issued in IA

Practice address

500 E Locust St Ste 126
Des Moines, IA 50309-1955

Phone

(515) 216-0109

Fax

(515) 295-0005

NPI assigned

Jan 23, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mary Ann Heilemeier and Decker Former name

Medicare fee-for-service enrollment

Enrolled in IA

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.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Flowstate Health LLCGroup PAC ID 1254718398, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Flowstate Health LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Des Moines, IA
  • NPI 1114678141
  Medicare reassignment Care Compare group NPD
• Kishwaukee Community Health Services Center

  • Psychiatric Hospital Unit
  • Dekalb, IL
  • NPI 1902079973
  NPD (past)

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765324800000",
    "number": "1407900459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 672",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500210672",
            "telephone_number": "515-216-0109",
            "fax_number": "515-295-0005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E LOCUST ST STE 126",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503091955",
            "telephone_number": "515-216-0109",
            "fax_number": "515-295-0005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKINNELL",
        "first_name": "MARY",
        "middle_name": "A",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IA",
            "license": "107880",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "180002540",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "HEILEMEIER AND DECKER",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cheyenne Jade McKeehan, PHARMD
• Ashley McKenna, RDN
• Angela C. McKenzie, CRNA
• Sue Ann McKernan
• Virginia McKim, HEALTH TECHNICIAN
• Robert McKinney, DO
• Karine Ann McLaughlin, R.D., L.D.
• Shannon Marie McLaughlin, WHNP-BC
• Maria A McMahon, ARNP
• Mary McMahon

• Counselor in Des Moines, IA
• Providers in Des Moines, IA by specialty
• Counselor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2025; 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.

Verify at the official NPI Registry.