NPIMap

Organization Active NPI

Choices Therapy Services, LLC

  • Community/Behavioral Health Agency
  • Clive, IA
National Provider Identifier
1669849246
Registry record updated Mar 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
001613 Issued in IA
Legal business name
CHOICES THERAPY SERVICES, LLC
Practice address
2829 Buena Vista Dr
Clive, IA 50325-4653
Phone
(641) 745-0499
Fax
(515) 987-2390
NPI assigned
Aug 30, 2015
Last updated
Mar 9, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2021

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

Authorized official

Name
Brenda Lee Wood-Clark, LMHCNPI 1740623305
Title
Owner
Phone
(641) 745-0499

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 001613 IA Primary

Addresses

Primary practice location

2829 Buena Vista Dr
Clive, IA 50325-4653

Mailing address

2829 Buena Vista Dr
Clive, IA 50325-4653
Phone (641) 745-0499

National Provider Directory

National Provider Directory
Tax ID family
Choices Therapy Services LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1440892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615248000000",
    "number": "1669849246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2829 BUENA VISTA DR",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503254653",
            "telephone_number": "641-745-0499",
            "fax_number": "515-987-2390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2829 BUENA VISTA DR",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503254653",
            "telephone_number": "641-745-0499",
            "fax_number": "515-987-2390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOICES THERAPY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-30",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A",
        "authorized_official_last_name": "WOOD-CLARK",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "641-745-0499",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IA",
            "license": "001613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clive, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 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.

Verify at the official NPI Registry.