Organization Active NPI

Premier Counseling Professionals, LLC

Doing business as Premier Counseling Professionals

  • Marriage & Family Therapist
  • West Des Moines, IA
National Provider Identifier
1679038244
Registry record updated Dec 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
PREMIER COUNSELING PROFESSIONALS, LLC
Doing business as
Premier Counseling Professionals
Practice address
5550 Wild Rose LN Ste 400
West Des Moines, IA 50266-5351
Phone
(515) 346-3069
Fax
(515) 346-3069
NPI assigned
Feb 7, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2022

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

Authorized official

Name
Alexander Kennison, LMFTNPI 1104204551
Title
Owner
Phone
(515) 346-3069

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
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

5550 Wild Rose LN Ste 400
West Des Moines, IA 50266-5351

Mailing address

2135 NW 108TH St Unit 71591
Clive, IA 50325-3823

Other practice location 1

6165 NW 86th St
Johnston, IA 50131-2270
Phone (515) 346-3069

Other names 1

  • Premier Counseling Professionals Doing business as

National Provider Directory

National Provider Directory

Locations

2135 NW 108th St
Unit 71591
Clive, IA 50325

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": "1549497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671494400000",
    "number": "1679038244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2135 NW 108TH ST UNIT 71591",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503253823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5550 WILD ROSE LN STE 400",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502665351",
            "telephone_number": "515-346-3069",
            "fax_number": "515-346-3069"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6165 NW 86th St",
            "address_purpose": "LOCATION",
            "city": "Johnston",
            "state": "IA",
            "postal_code": "501312270",
            "country_code": "US",
            "telephone_number": "515-346-3069",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PREMIER COUNSELING PROFESSIONALS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-07",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A",
        "authorized_official_last_name": "KENNISON",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "515-346-3069",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Counseling Professionals",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Premier Counseling Professionals",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2022; 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.