Danielle L Sodergren, LMHC, IAADC, RPT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

087173 Issued in IA

Practice address

3209 Ingersoll Ave Ste 100
Des Moines, IA 50312-3920

Phone

(760) 828-5477

NPI assigned

Jul 26, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Mar 1, 2024 through Mar 1, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Meridian Counseling Services, LLC

  • Mental Health Counselor
  • Des Moines, IA
  • NPI 1790646289
  NPD Authorized official
• Orchard Place

  • Psychiatric Residential Treatment Facility
  • Des Moines, IA
  • NPI 1245220938
  NPD (past)

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

{
    "created_epoch": "1501027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655424000000",
    "number": "1649794173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3209 INGERSOLL AVE STE 100",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503123920",
            "telephone_number": "760-828-5477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3209 INGERSOLL AVE STE 100",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503123920",
            "telephone_number": "760-828-5477"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "925 Porter Ave",
            "address_purpose": "LOCATION",
            "city": "Des Moines",
            "state": "IA",
            "postal_code": "503157235",
            "country_code": "US",
            "telephone_number": "515-285-6781",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SODERGREN",
        "first_name": "DANIELLE",
        "middle_name": "L",
        "credential": "LMHC, IAADC, RPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-26",
        "last_updated": "2022-06-17",
        "certification_date": "2022-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "087173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Ann Snyder, CRNA
• Susan Jane Snyder, D.O.
• Natalie Snyders, LMHC
• Renee Socarras, OTD
• Megan J. Sodders, D.O.
• Icimanaitegetse Solange
• Wendy Solawetz, M.S.
• Lisa Gail Soldat, MD
• Solid Foundations Incorporated
• Karan Soni, MD

• Mental Health Counselor in Des Moines, IA
• Providers in Des Moines, IA by specialty
• Mental Health Counselor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.