Individual provider Active NPI

Monique Jeanette Maldonado, LMHC, IADC

  • Mental Health Counselor
  • Ankeny, IA
National Provider Identifier
1639611155
Registry record updated Oct 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
083552 Issued in IA
Practice address
1370 NW 18TH St Ste 104K
Ankeny, IA 50023-9243
Phone
(515) 402-0520
Fax
(515) 606-3523
NPI assigned
Nov 15, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 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 083552 IA Primary

Addresses

Primary practice location

1370 NW 18TH St Ste 104K
Ankeny, IA 50023-9243

Mailing address

1370 NW 18TH St Ste 104K
Ankeny, IA 50023-9243
Phone (515) 402-0520

Other practice location 1

6300 Rockwell Dr NE
Cedar Rapids, IA 52402-7216
Phone (515) 402-0520

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260116001772 IA Practitioner - Mental Health Counselor 2961989348 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1929 Baltimore Reynoldsburg Rd
Unit 522
Reynoldsburg, OH 43068

3311 NW Abilene Rd
Ankeny, IA 50023-1279

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
083552IAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Vine Christian Counseling Mental Health CurrentSince Apr 1, 2025 Accepting new patients
Living Years Counseling, LLC PastSince Jul 18, 2016 Accepting new patients

Locations

515 Grand Ave
Ste 203
Ames, IA 50010
Phone (515) 232-0411

6300 Rockwell Dr NE
Cedar Rapids, IA 52402
Phone (515) 402-0520

Organizations & group practices 2

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": "1479168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760313600000",
    "number": "1639611155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1370 NW 18TH ST STE 104K",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500239243",
            "telephone_number": "515-402-0520",
            "fax_number": "515-606-3523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1370 NW 18TH ST STE 104K",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500239243",
            "telephone_number": "515-402-0520",
            "fax_number": "515-606-3523"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6300 Rockwell Dr NE",
            "address_purpose": "LOCATION",
            "city": "Cedar Rapids",
            "state": "IA",
            "postal_code": "524027216",
            "country_code": "US",
            "telephone_number": "515-402-0520",
            "fax_number": "515-606-3523",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALDONADO",
        "first_name": "MONIQUE",
        "middle_name": "JEANETTE",
        "name_prefix": "Mrs.",
        "credential": "LMHC, IADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-15",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "083552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ankeny, IA

Sources for this page

Verify at the official NPI Registry.