Individual provider Active NPI

Timmicia J Stotts, MS, LMFT

  • Marriage & Family Therapist
  • Ankeny, IA
National Provider Identifier
1417535733
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
106314 Issued in IA
Practice address
1345 SW Park Square Dr Ste 206
Ankeny, IA 50023-2687
Phone
(515) 329-7735
Fax
(515) 608-4580
NPI assigned
Mar 30, 2021
Last updated
Aug 27, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 106314 IA Primary

Addresses

Primary practice location

1345 SW Park Square Dr Ste 206
Ankeny, IA 50023-2687

Mailing address

1800 Grand Ave Apt 83
West Des Moines, IA 50265-5013
Phone (515) 779-7895

Other practice location 1

1200 Valley West Dr Ste 508
West Des Moines, IA 50266-1906
Phone (515) 267-1340

Other practice location 2

12247 Stratford Dr
Clive, IA 50325-8147
Phone (515) 393-6702

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240906002093 IA Practitioner - Marriage and Family Therapist 8527508480 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Better Days Mental Health PCGroup PAC ID 1850742586, 11 clinicians

Practice addresses (Care Compare)

1345 SW Park Square Dr
Suite 206
Ankeny, IA 50023-2687
Phone (515) 346-3999

702 SW 4TH St
Ankeny, IA 50023-2964
Phone (515) 779-7895

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Your Next Chapter Therapy PLLC Marriage & Family Therapist Current Accepting new patients
Better Days Mental Health PC CurrentSince Sep 23, 2024 Accepting new patients
Integrative Counseling Solutions Inc. CurrentSince Nov 27, 2022 Accepting new patients

Locations

1345 SW Park Square Dr
Ste 206
Ankeny, IA 50023
Phone (515) 329-7735

12247 Stratford Dr
Clive, IA 50325
Phone (515) 212-2091

1200 Valley West Dr
Ste 508
West Des Moines, IA 50266
Phone (515) 267-1340

Organizations & group practices 3

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": "1617062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724716800000",
    "number": "1417535733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 GRAND AVE APT 83",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502655013",
            "telephone_number": "515-779-7895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1345 SW PARK SQUARE DR STE 206",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500232687",
            "telephone_number": "515-329-7735",
            "fax_number": "515-608-4580"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 Valley West Dr Ste 508",
            "address_purpose": "LOCATION",
            "city": "West Des Moines",
            "state": "IA",
            "postal_code": "502661906",
            "country_code": "US",
            "telephone_number": "515-267-1340",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12247 Stratford Dr",
            "address_purpose": "LOCATION",
            "city": "Clive",
            "state": "IA",
            "postal_code": "503258147",
            "country_code": "US",
            "telephone_number": "515-393-6702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STOTTS",
        "first_name": "TIMMICIA",
        "middle_name": "J",
        "credential": "MS, LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-30",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IA",
            "license": "106314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ankeny, IA

Sources for this page

Verify at the official NPI Registry.