Deanna Engrav, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

075515 Issued in IA

Practice address

3737 Woodland Ave
Ste.415
West Des Moines, IA 50266-1909

Phone

(515) 222-1999

Fax

(515) 224-3949

NPI assigned

Oct 27, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Healing Roots Therapy, LLC

  • Adult Mental Health Clinic/Center
  • West Des Moines, IA
  • NPI 1689539280
  NPD Authorized official
• Healing Roots Therapy, LLC

  • Addiction (Substance Use Disorder) Counselor
  • West Des Moines, IA
  • NPI 1699591479
  NPD Authorized official
• Integrative Counseling Solutions Inc.

  • Community/Behavioral Health Agency
  • West Des Moines, IA
  • NPI 1942437231
  NPD (past)

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

{
    "created_epoch": "1414368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414368000000",
    "number": "1477958932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4410 NW 142ND STREET",
            "address_2": "202",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "50323",
            "telephone_number": "319-573-6461",
            "fax_number": "515-224-3949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3737 WOODLAND AVE",
            "address_2": "STE.415",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502661909",
            "telephone_number": "515-222-1999",
            "fax_number": "515-224-3949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGRAV",
        "first_name": "DEANNA",
        "name_prefix": "Ms.",
        "credential": "MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-27",
        "last_updated": "2014-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IA",
            "license": "075515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne Marie Enderlin, ARNP
• Endodontics, P.C.
• Ryan Enerson, DPT
• Madison Engels, M.A., CCC-SLP
• Joshua Scott Englehart
• Enhanced Health Chiropractic, P.C.
• Amerlon L Enriquez, M.D.
• ENT Clinic of Iowa, PC
• Ep True Chiropractic Inc.
• Robin Lynn Epp, M.D., M.P.H.

• Marriage & Family Therapist in West Des Moines, IA
• Providers in West Des Moines, IA by specialty
• Marriage & Family Therapist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.