NPIMap

Organization Active NPI

Mosaic Family Counseling Center, Inc.

  • Mental Health Counselor
  • Urbandale, IA
National Provider Identifier
1417103649
Registry record updated Jan 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
MOSAIC FAMILY COUNSELING CENTER, INC.
Practice address
6200 Aurora Ave Ste 305E
Urbandale, IA 50322-2863
Phone
(515) 724-8920
Fax
(712) 545-2900
NPI assigned
Aug 7, 2008
Last updated
Jan 13, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2025

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

Authorized official

Name
Kenya RochaNPI 1639358807
Title
Ceo
Phone
(515) 771-3672

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

6200 Aurora Ave Ste 305E
Urbandale, IA 50322-2863

Mailing address

3705 Grand Ave
Suite 100
Des Moines, IA 50312-2805
Phone (515) 724-8920

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160318000482 IA Part B Supplier - Clinic/Group Practice 3577860501 Receives reassigned benefits from 10 practitioners
Practice locations: Indianola, IA; Perry, IA; Urbandale, IA; West Des Moines, IA

National Provider Directory

National Provider Directory

Locations

531 W Main St
Lamoni, IA 50140
Phone (641) 781-0082

2343 US Highway 169
Mount Ayr, IA 50854
Phone (641) 781-0082

610 10th St
Perry, IA 50220
Phone (515) 465-3547

6200 Aurora Ave
Ste 305E
Urbandale, IA 50322
Phone (515) 724-8920

720 S 68th St
Ste 3
West Des Moines, IA 50266
Phone (515) 724-8920

Practitioners & affiliated clinicians

Practitioners 36

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1218067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736726400000",
    "number": "1417103649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3705 GRAND AVE",
            "address_2": "SUITE 100",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503122805",
            "telephone_number": "515-724-8920",
            "fax_number": "888-771-3225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 AURORA AVE STE 305E",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503222863",
            "telephone_number": "515-724-8920",
            "fax_number": "712-545-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSAIC FAMILY COUNSELING CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-07",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A",
        "authorized_official_last_name": "ROCHA",
        "authorized_official_first_name": "KENYA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "515-771-3672"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Urbandale, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.