Individual provider Active NPI

Delyssa Lumona Maxwell, MS., LMHC.

  • Mental Health Counselor
  • Des Moines, IA
National Provider Identifier
1437469038
Registry record updated Apr 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
001354 Issued in IA
Practice address
3839 Merle Hay Rd Ste 227
Des Moines, IA 50310-1312
Phone
(515) 669-8111
Fax
(515) 462-0633
NPI assigned
Oct 15, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 001354 IA Primary

Addresses

Primary practice location

3839 Merle Hay Rd Ste 227
Des Moines, IA 50310-1312

Mailing address

3839 Merle Hay Rd Ste 227
Des Moines, IA 50310-1312
Phone (515) 669-8111

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
I20240703000444 IA Practitioner - Mental Health Counselor 1153865977 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
001354IAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Affinity Therapy and Counseling Services Mental Health CurrentSince May 7, 2024 Accepting new patients

Locations

3839 Merle Hay Rd
Ste 227
Des Moines, IA 50310
Phone (515) 669-8111

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1287100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713916800000",
    "number": "1437469038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3839 MERLE HAY RD STE 227",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503101312",
            "telephone_number": "515-669-8111",
            "fax_number": "515-462-0633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3839 MERLE HAY RD STE 227",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503101312",
            "telephone_number": "515-669-8111",
            "fax_number": "515-462-0633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAXWELL",
        "first_name": "DELYSSA",
        "middle_name": "LUMONA",
        "name_prefix": "Ms.",
        "credential": "MS., LMHC.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-15",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "001354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.