Active NPI
Haus Therapy Services
- Mental Health Counselor
- Ankeny, IA
National Provider Identifier
1508630435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- HAUS THERAPY SERVICES
- Practice address
- 1605 N Ankeny Blvd Ste 110
Ankeny, IA 50023-4163 - Phone
- (515) 316-5549
- Fax
- (515) 532-5401
- NPI assigned
- Nov 10, 2023
- Organization subpart
- No
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240930001704 | IA | Part B Supplier - Clinic/Group Practice | 2163953316 |
Receives reassigned benefits from 5 practitioners Practice locations: Ankeny, IA |
National Provider Directory
National Provider DirectoryNPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shannon Lewis Haus, LMHC
- Title
- Therapist
- Phone
- (515) 954-6886
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
1605 N Ankeny Blvd Ste 110
Ankeny, IA 50023-4163
Mailing address
12318 NE 22ND St
Ankeny, IA 50021-9196
Phone (515) 954-6886
NPI Registry JSON
{
"created_epoch": "1699574400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1724112000000",
"number": "1508630435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12318 NE 22ND ST",
"city": "ANKENY",
"state": "IA",
"postal_code": "500219196",
"telephone_number": "515-954-6886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1605 N ANKENY BLVD STE 110",
"city": "ANKENY",
"state": "IA",
"postal_code": "500234163",
"telephone_number": "515-316-5549",
"fax_number": "515-532-5401"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HAUS THERAPY SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2023-11-10",
"last_updated": "2024-08-20",
"certification_date": "2024-08-20",
"status": "A",
"authorized_official_last_name": "HAUS",
"authorized_official_first_name": "SHANNON",
"authorized_official_middle_name": "LEWIS",
"authorized_official_title_or_position": "THERAPIST",
"authorized_official_telephone_number": "515-954-6886",
"authorized_official_credential": "LMHC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ankeny, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.