Active NPI
Mary E Meyer, PHD, LMFT, CSAT
- Clinical Social Worker
- Ankeny, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 1605 N Ankeny Blvd Ste 210
Ankeny, IA 50023-4163 - Phone
- (515) 705-0174
- Fax
- (515) 310-4003
- NPI assigned
- Aug 31, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Marriage & Family Therapist | 106H00000X | 166.001000 | IL | |
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
1605 N Ankeny Blvd Ste 210
Ankeny, IA 50023-4163
Mailing address
1605 N Ankeny Blvd Ste 210
Ankeny, IA 50023-4163
Phone (515) 705-0174
Other practice location 1
3200 Ingersoll Ave Ste E
Des Moines, IA 50312-3917
Phone (515) 705-0174
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 166.001000 | IL | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Full Heart Family Therapy and Renewal Center LLC | Clinical | Current | Accepting new patients |
Locations
1605 N Ankeny Blvd
Ste 210
Ankeny, IA 50023
Phone (515) 704-0174
602 SE Delaware Ave
Ankeny, IA 50021
Phone (515) 705-0174
Organizations & group practices 1
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.
-
dba Full Heart Family Therapy
- Marriage & Family Therapist
- Ankeny, IA
- NPI 1679048466
Clinical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740700800000",
"number": "1417180902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1605 N ANKENY BLVD STE 210",
"city": "ANKENY",
"state": "IA",
"postal_code": "500234163",
"telephone_number": "515-705-0174",
"fax_number": "515-310-4003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1605 N ANKENY BLVD STE 210",
"city": "ANKENY",
"state": "IA",
"postal_code": "500234163",
"telephone_number": "515-705-0174",
"fax_number": "515-310-4003"
}
],
"practiceLocations": [
{
"address_1": "3200 Ingersoll Ave Ste E",
"address_purpose": "LOCATION",
"city": "Des Moines",
"state": "IA",
"postal_code": "503123917",
"country_code": "US",
"telephone_number": "515-705-0174",
"fax_number": "515-310-4003",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MEYER",
"first_name": "MARY",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "PHD, LMFT, CSAT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-08-31",
"last_updated": "2025-02-28",
"certification_date": "2025-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "IL",
"license": "166.001000",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ankeny, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.