Organization Active NPI

Clean Slate Counseling

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Ankeny, IA
National Provider Identifier
1598613309
Registry record updated Mar 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
CLEAN SLATE COUNSELING
Practice address
301 N Ankeny Blvd Ste 140
Ankeny, IA 50023-1730
Phone
(515) 293-5695
NPI assigned
Mar 18, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2026

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

Authorized official

Name
Paul Guerdet, LISWNPI 1962857821
Title
Therapist/Owner
Phone
(515) 293-5695

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)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

301 N Ankeny Blvd Ste 140
Ankeny, IA 50023-1730

Mailing address

301 N Ankeny Blvd Ste 140
Ankeny, IA 50023-1730
Phone (515) 293-5695

National Provider Directory

National Provider Directory

Locations

301 N Ankeny Blvd
Ste 140
Ankeny, IA 50023
Phone (515) 293-5695

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1773792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773792000000",
    "number": "1598613309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 N ANKENY BLVD STE 140",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500231730",
            "telephone_number": "515-293-5695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N ANKENY BLVD STE 140",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500231730",
            "telephone_number": "515-293-5695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAN SLATE COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-18",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A",
        "authorized_official_last_name": "GUERDET",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "THERAPIST/OWNER",
        "authorized_official_telephone_number": "515-293-5695",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "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 Mar 18, 2026; 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.