Individual provider Active NPI

Omar Velazco

  • Mental Health Counselor
  • Des Moines, IA
National Provider Identifier
1528920097
Registry record updated Dec 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
123469 Issued in IA
Practice address
3839 Merle Hay Rd Ste 227
Des Moines, IA 50310-1312
Phone
(515) 669-8111
Fax
(515) 462-0633
NPI assigned
Dec 2, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 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 123469 IA Primary

Addresses

Primary practice location

3839 Merle Hay Rd Ste 227
Des Moines, IA 50310-1312

Mailing address

3839 Merle Hay Rd Ste 277
Des Moines, IA 50310-1307
Phone (515) 669-8111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
123469IAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Affinity Therapy and Counseling Services Mental Health CurrentSince Dec 7, 2025 Accepting new patients

Locations

3839 Merle Hay Rd
Ste 227
Des Moines, IA 50310
Phone (515) 669-8111

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": "1764633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764633600000",
    "number": "1528920097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3839 MERLE HAY RD STE 277",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503101307",
            "telephone_number": "515-669-8111",
            "fax_number": "515-462-0633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3839 MERLE HAY RD STE 227",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503101312",
            "telephone_number": "515-669-8111",
            "fax_number": "515-462-0633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELAZCO",
        "first_name": "OMAR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-12-02",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "123469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.