Individual provider Active NPI

Danielle Foreman

  • Marriage & Family Therapist
  • Urbandale, IA
National Provider Identifier
1447848197
Registry record updated Mar 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
091551 Issued in IA
Practice address
8553 Urbandale Ave
Urbandale, IA 50322-4108
Phone
(515) 274-4006
NPI assigned
Jan 7, 2021
Last updated
Mar 14, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 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 091551 IA Primary

Addresses

Primary practice location

8553 Urbandale Ave
Urbandale, IA 50322-4108

Mailing address

4233 65TH St
Urbandale, IA 50322-2813

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
I20240418002874 IA Practitioner - Marriage and Family Therapist 8729427067 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Des Moines Pastoral Counseling CenterGroup PAC ID 0749272649, 22 clinicians

Practice addresses (Care Compare)

8553 Urbandale Ave
Urbandale, IA 50322-4108
Phone (515) 274-4006

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
091551IAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mind and Spirit Counseling Center CurrentSince Jan 24, 2024 Accepting new patients

Locations

8553 Urbandale Ave
Urbandale, IA 50322
Phone (515) 274-4006

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": "1609977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710374400000",
    "number": "1447848197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4233 65TH ST",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503222813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8553 URBANDALE AVE",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503224108",
            "telephone_number": "515-274-4006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOREMAN",
        "first_name": "DANIELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-07",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IA",
            "license": "091551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Urbandale, IA

Sources for this page

Verify at the official NPI Registry.