Active NPI
Timmicia J Stotts, MS, LMFT
- Marriage & Family Therapist
- Ankeny, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 106314
- 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, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Your Next Chapter Therapy PLLC | Marriage & Family Therapist | Current | Accepting new patients |
| Better Days Mental Health PC | Current | Accepting new patients | |
| Integrative Counseling Solutions Inc. | Current | 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.
-
- Mental Health Counselor
- Clive, IA
- NPI 1417653650
-
- Marriage & Family Therapist
- Ankeny, IA
- NPI 1245185594
-
dba Central Iowa Psychological Services
- Community/Behavioral Health Agency
- West Des Moines, IA
- NPI 1942437231
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; 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.