Individual provider Active NPI

Casey Pestka, MFT-TL

  • Marriage & Family Therapist
  • Des Moines, IA
National Provider Identifier
1497237341
Registry record updated Dec 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
091689 Issued in IA
Practice address
309 Court Ave Ste 241
Des Moines, IA 50309-2282
Phone
(515) 901-2974
Fax
(515) 875-4817
NPI assigned
Sep 6, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2023

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 091689 IA Primary

Addresses

Primary practice location

309 Court Ave Ste 241
Des Moines, IA 50309-2282

Mailing address

309 Court Ave Ste 241
Des Moines, IA 50309-2282
Phone (515) 901-2974

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
I20231130002612 IA Practitioner - Marriage and Family Therapist 8224486253 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
Sampson Family Therapy Services LLCGroup PAC ID 6800292640, 10 clinicians

Practice addresses (Care Compare)

309 Court Ave
Suite 241
Des Moines, IA 50309-2282
Phone (515) 901-2974

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
091689IAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sampson Family Therapy Services LLC Marriage & Family Therapist CurrentSince Jan 1, 2024 Accepting new patients

Locations

309 Court Ave
Ste 241
Des Moines, IA 50309
Phone (515) 875-4816

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1536192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703116800000",
    "number": "1497237341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 COURT AVE STE 241",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503092282",
            "telephone_number": "515-901-2974",
            "fax_number": "515-875-4817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 COURT AVE STE 241",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503092282",
            "telephone_number": "515-901-2974",
            "fax_number": "515-875-4817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PESTKA",
        "first_name": "CASEY",
        "credential": "MFT-TL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-06",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IA",
            "license": "091689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.