Individual provider Active NPI

Alicia L Pena, MS

  • Mental Health Counselor
  • Des Moines, IA
National Provider Identifier
1487969234
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
001333 Issued in IA
Practice address
3839 Merle Hay Rd Ste 282
Des Moines, IA 50310-1321
Phone
(515) 707-4920
NPI assigned
Aug 17, 2010
Last updated
Apr 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 001333 IA Primary

Addresses

Primary practice location

3839 Merle Hay Rd Ste 282
Des Moines, IA 50310-1321

Mailing address

3839 Merle Hay Rd Ste 282
Des Moines, IA 50310-1321
Phone (515) 707-4920

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
I20250612000492 IA Practitioner - Mental Health Counselor 8123538725 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
001333IAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Tree of Life Therapy and Counseling Services Mental Health CurrentSince Apr 8, 2025 Accepting new patients
Lifeline Resources, LLC Mental Health Past Accepting new patients

Locations

3839 Merle Hay Rd
Ste 282
Des Moines, IA 50310
Phone (515) 707-4920

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": "1282003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743465600000",
    "number": "1487969234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3839 MERLE HAY RD STE 282",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503101321",
            "telephone_number": "515-707-4920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3839 MERLE HAY RD STE 282",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503101321",
            "telephone_number": "515-707-4920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENA",
        "first_name": "ALICIA",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-17",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "001333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.