Individual provider Active NPI

Kirsten L Just, MS

  • Marriage & Family Therapist
  • Ames, IA
National Provider Identifier
1447684865
Registry record updated Oct 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
084454 Issued in IA
Practice address
223 S Walnut Ave
Ames, IA 50010-6974
Phone
(515) 368-7504
Fax
(515) 355-3491
NPI assigned
Aug 22, 2013
Last updated
Oct 10, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2023

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 084454 IA Primary

Addresses

Primary practice location

223 S Walnut Ave
Ames, IA 50010-6974

Mailing address

223 S Walnut Ave
Ames, IA 50010-6974
Phone (515) 368-7504

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
I20231128002380 IA Practitioner - Marriage and Family Therapist 6002264249 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Erika Smith, Lisw, LLCGroup PAC ID 3072953462, 3 clinicians

Practice addresses (Care Compare)

1609 N Ankeny Blvd
Suite 120
Ankeny, IA 50023-4112
Phone (515) 681-2610

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
084454IAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Erika Smith, Lisw, LLC Marriage & Family Therapist CurrentSince May 11, 2024 Accepting new patients

Locations

1609 N Ankeny Blvd
Ste 120
Ankeny, IA 50023
Phone (515) 635-5016

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.

NPI Registry JSON

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

{
    "created_epoch": "1377129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696896000000",
    "number": "1447684865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 S WALNUT AVE",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500106974",
            "telephone_number": "515-368-7504",
            "fax_number": "515-355-3491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 S WALNUT AVE",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500106974",
            "telephone_number": "515-368-7504",
            "fax_number": "515-355-3491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUST",
        "first_name": "KIRSTEN",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-22",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IA",
            "license": "084454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ames, IA

Sources for this page

Verify at the official NPI Registry.