Organization Active NPI

Full Heart Family Therapy and Renewal Center LLC

Doing business as Full Heart Family Therapy

  • Marriage & Family Therapist
  • Ankeny, IA
National Provider Identifier
1679048466
Registry record updated Apr 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
FULL HEART FAMILY THERAPY AND RENEWAL CENTER LLC
Doing business as
Full Heart Family Therapy
Practice address
1605 N Ankeny Blvd Ste 210
Ankeny, IA 50023-4163
Phone
(515) 705-0174
Fax
(515) 310-4003
NPI assigned
Oct 8, 2018
Last updated
Apr 3, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2026

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

Authorized official

Name
Dr. Mary Meyer, PHD, LMFTNPI 1417180902
Title
Owner
Phone
(515) 705-0174

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Clinical Social Worker 1041C0700X NU
Marriage & Family Therapist 106H00000X NU Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU

Addresses

Primary practice location

1605 N Ankeny Blvd Ste 210
Ankeny, IA 50023-4163

Mailing address

1605 N Ankeny Blvd Ste 210
Ankeny, IA 50023-4163
Phone (515) 705-0174

Other names 1

  • Full Heart Family Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

1605 N Ankeny Blvd
Ste 210
Ankeny, IA 50023
Phone (515) 704-0174

213 N Ankeny Blvd
Ste 100
Ankeny, IA 50023
Phone (515) 257-6685

320 SE Delaware Ave
Ste 6
Ankeny, IA 50021
Phone (515) 705-0174

602 SE Delaware Ave
Ankeny, IA 50021
Phone (515) 705-0174

Practitioners & affiliated clinicians

Practitioners 9

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": "1538956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775174400000",
    "number": "1679048466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 N ANKENY BLVD STE 210",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500234163",
            "telephone_number": "515-705-0174",
            "fax_number": "515-310-4003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 N ANKENY BLVD STE 210",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500234163",
            "telephone_number": "515-705-0174",
            "fax_number": "515-310-4003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULL HEART FAMILY THERAPY AND RENEWAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-08",
        "last_updated": "2026-04-03",
        "certification_date": "2026-04-03",
        "status": "A",
        "authorized_official_last_name": "MEYER",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "515-705-0174",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Full Heart Family Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ankeny, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2026; 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.