Individual provider Active NPI

Timothy Andrew Flynn, LMHC

  • Counselor
  • Des Moines, IA
National Provider Identifier
1487281085
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
075166 Issued in IA
Practice address
1301 Pennsylvania Ave
Suite #305
Des Moines, IA 50316
Phone
(515) 263-4004
Fax
(515) 263-4010
NPI assigned
Mar 24, 2020
Last updated
Jan 25, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 075166 IA Primary

Addresses

Primary practice location

1301 Pennsylvania Ave
Suite #305
Des Moines, IA 50316

Mailing address

1301 Pennsylvania Ave
Suite #305
Des Moines, IA 50316
Phone (515) 263-4004

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
I20231121002565 IA Practitioner - Mental Health Counselor 6901254572 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Drake University College of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Central Iowa Hospital CorporationGroup PAC ID 1052229275, 233 clinicians

Practice addresses (Care Compare)

6000 University Ave
Suite 200
West Des Moines, IA 50266-8201
Phone (515) 241-2440

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
075166IAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Central Iowa Hospital Corporation CurrentSince Jan 1, 2024 Accepting new patients
St Luke's Methodist Hospital Current Accepting new patients
Central Iowa Hospital Corporation CurrentSince Mar 29, 2020 Accepting new patients
Central Iowa Hospital Corporation Behavior Analyst CurrentSince Jan 1, 2024 Accepting new patients

Locations

1250 E 9th St
Des Moines, IA 50316
Phone (515) 241-4300

1301 Pennsylvania Ave
Ste 305
Des Moines, IA 50316
Phone (515) 263-4004

700 E University Ave
Des Moines, IA 50316
Phone (515) 263-5120

6000 University Ave
Ste 200
West Des Moines, IA 50266
Phone (515) 241-2300

Interoperability endpoints

  • Direct secure messaging: tflynn208847@direct.unitypoint.org

Organizations & group practices 4

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1585008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706140800000",
    "number": "1487281085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 PENNSYLVANIA AVE",
            "address_2": "SUITE #305",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "50316",
            "telephone_number": "515-263-4004",
            "fax_number": "515-263-4010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 PENNSYLVANIA AVE",
            "address_2": "SUITE #305",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "50316",
            "telephone_number": "515-263-4004",
            "fax_number": "515-263-4010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLYNN",
        "first_name": "TIMOTHY",
        "middle_name": "ANDREW",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-24",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IA",
            "license": "075166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.