Individual provider Active NPI

Benjamin John Kolars

  • Mental Health Counselor
  • Ankeny, IA
National Provider Identifier
1437792793
Registry record updated Jun 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
001745 Issued in IA
Practice address
1345 SW Park Square Dr Ste 206
Ankeny, IA 50023-2687
Phone
(515) 329-7735
NPI assigned
Oct 19, 2019
Last updated
Jun 5, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 12134 IA
Addiction (Substance Use Disorder) Counselor 101YA0400X 001745 IA
Mental Health Counselor 101YM0800X 001745 IA Primary
Pastoral Counselor 101YP1600X 001745 IA
Professional Counselor 101YP2500X 001745 IA

Addresses

Primary practice location

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

Mailing address

109 5TH Ave
Coon Rapids, IA 50058-1507

Other practice location 1

524 E 7th St
Carroll, IA 51401-2524
Phone (800) 242-5101

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL computer

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
I20231221003306 IA Practitioner - Mental Health Counselor 0042660615 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12134IAMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Better Days Mental Health PC Mental Health CurrentSince Jul 22, 2024 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

Organizations & group practices 2

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": "1571443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717545600000",
    "number": "1437792793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 5TH AVE",
            "city": "COON RAPIDS",
            "state": "IA",
            "postal_code": "500581507"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "524 E 7th St",
            "address_purpose": "LOCATION",
            "city": "Carroll",
            "state": "IA",
            "postal_code": "514012524",
            "country_code": "US",
            "telephone_number": "800-242-5101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOLARS",
        "first_name": "BENJAMIN",
        "middle_name": "JOHN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-19",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IA",
            "license": "12134",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IA",
            "license": "001745",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "001745",
            "primary": true
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "IA",
            "license": "001745",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IA",
            "license": "001745",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "computer",
            "affiliation": "N",
            "address_1": "109 5th Ave",
            "city": "Coon Rapids",
            "state": "IA",
            "country_code": "US",
            "postal_code": "500581507",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ankeny, IA

Sources for this page

Verify at the official NPI Registry.