Joanna Elisha Marie Scott – Mental Health Counselor

Key facts

NPI: 1609497197
Entity type: Individual (NPI type 1)
Primary specialty: Mental Health Counselor 101YM0800X
License: 100742 (IA)
Practice address: 6200 Aurora Ave Ste 400W
Urbandale, IA 50322-2868
Phone: (515) 274-9607
NPI assigned: May 6, 2020
Sex: Female
Sole proprietor: No

Organizations & group practices 3

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.

Eyerly Ball Community Mental Health Services Mental Health Clinic/Center (Including Community Mental Health Center) · Des Moines, IA · NPI 1982657490

Medicare reassignment Care Compare group NPD IA
Center Associates Cognitive & Behavioral Psychologist · Marshalltown, IA · NPI 1942251160

Medicare reassignment NPD IA
Eyerly Ball Community Mental Health Services Community Health Clinic/Center · Des Moines, IA · NPI 1598514895

NPD

Medicare Care Compare profile

Specialty: Mental Health Counselor
Education: Other, 2019
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Telehealth: Offers telehealth services
Group practices: Eyerly Ball Community Mental Health Services (17 clinicians)

Practice addresses (Care Compare)

1319 Pennsylvania Ave
Des Moines, IA 50316-2341
Phone (515) 243-5181

Medicare participation

Medicare fee-for-service enrollment: Enrolled in IA
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20241007002771	IA	Practitioner - Mental Health Counselor	2961933536	Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD): Yes

State licenses

License	State	Type	Specialty
100742	IA	MD	Mental Health Counselor

Practice roles

Organization	Status	New patients
Eyerly Ball Community Mental Health Services	Current since Sep 18, 2025	Accepting new patients
Center Associates	Current since Sep 11, 2024	Accepting new patients
Eyerly Ball Community Mental Health Services	Current since Sep 18, 2025	Accepting new patients

Locations

2521 University Blvd
Ste 121
Ames, IA 50010
Phone (515) 292-2150

1301 Center St
Des Moines, IA 50309
Phone 5152410982852

1319 Pennsylvania Ave
Des Moines, IA 50316
Phone (515) 243-5181

3809 S Center St
Marshalltown, IA 50158
Phone (641) 752-1585

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Mental Health Counselor	101YM0800X	100742	IA	Yes

Addresses

Primary practice location

6200 Aurora Ave Ste 400W
Urbandale, IA 50322-2868

Mailing address

6200 Aurora Ave Ste 400W
Urbandale, IA 50322-2868

Other identifiers

Identifier	Type	State	Issuer
100742	Medicaid	IA

Other names

Joanna Miller Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 6, 2020.

{
    "created_epoch": "1588723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588723200000",
    "number": "1609497197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 AURORA AVE STE 400W",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503222868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 AURORA AVE STE 400W",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503222868",
            "telephone_number": "515-274-9607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "JOANNA",
        "middle_name": "ELISHA MARIE",
        "credential": "T-LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-06",
        "last_updated": "2020-05-06",
        "certification_date": "2020-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "100742",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100742",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOANNA",
            "last_name": "MILLER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Urbandale, IA

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Jon Schultz
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Kameo Schumann
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August Segovia
Kaitlyn Renee Serbin, PHARMD
Serenity Counseling LLC
Servant Home Care LLC Dba Senior Helpers

All providers in Urbandale, IA · Mental Health Counselor in Iowa

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 6, 2020. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.