Individual provider Active NPI

Nathan Barker, LP

  • Psychologist
  • Ames, IA
National Provider Identifier
1487492393
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
121907 Issued in IA
Practice address
4720 Mortensen Rd Ste 101
Ames, IA 50014-5534
Phone
(515) 599-8904
NPI assigned
Jul 16, 2024
Last updated
Jul 16, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 121907 IA Primary

Addresses

Primary practice location

4720 Mortensen Rd Ste 101
Ames, IA 50014-5534

Mailing address

3103 Maplewood Rd
Ames, IA 50014-4572
Phone (319) 217-8842

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
I20250619002137 IA Practitioner - Clinical Psychologist 2466970983 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cornerstone Counseling Center of Ames IncGroup PAC ID 7214455732, 10 clinicians

Practice addresses (Care Compare)

4720 Mortensen Rd
Suite 101
Ames, IA 50014-5534
Phone (515) 599-8904

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Counseling Center of Ames, Inc CurrentSince Apr 18, 2025 Accepting new patients
Deep Well LLC Psychologist PastSince Jul 21, 2024 Accepting new patients

Locations

4720 Mortensen Rd
Ste 101
Ames, IA 50014
Phone (515) 232-5488

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": "1721088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1487492393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3103 MAPLEWOOD RD",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500144572",
            "telephone_number": "319-217-8842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4720 MORTENSEN RD STE 101",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500145534",
            "telephone_number": "515-599-8904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARKER",
        "first_name": "NATHAN",
        "name_prefix": "Dr.",
        "credential": "LP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-07-16",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IA",
            "license": "121907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ames, IA

Sources for this page

Verify at the official NPI Registry.