Active NPI
Robert Dennis
- Mental Health Counselor
- Ames, IA
National Provider Identifier
1588330138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 105940
- Practice address
- 420 Kellogg Ave
Ames, IA 50010-6226 - Phone
- (515) 233-3141
- NPI assigned
- Aug 23, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 105940 | IA | Primary |
Addresses
Primary practice location
420 Kellogg Ave
Ames, IA 50010-6226
Mailing address
420 Kellogg Ave
Ames, IA 50010-6226
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
| License | State | Type | Specialty |
|---|---|---|---|
| 105940 | IA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Youth and Shelter Services, Inc. | Mental Health | Past | Accepting new patients |
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/yss/r4/
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": "1629676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629676800000",
"number": "1588330138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 KELLOGG AVE",
"city": "AMES",
"state": "IA",
"postal_code": "500106226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 KELLOGG AVE",
"city": "AMES",
"state": "IA",
"postal_code": "500106226",
"telephone_number": "515-233-3141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DENNIS",
"first_name": "ROBERT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-08-23",
"last_updated": "2021-08-23",
"certification_date": "2021-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IA",
"license": "105940",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ames, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.