Organization Active NPI

Courage Counseling Center, PLLC

  • Mental Health Counselor
  • Johnston, IA
National Provider Identifier
1679416580
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
COURAGE COUNSELING CENTER, PLLC
Practice address
9901 NW 62ND Ave
Johnston, IA 50131-1715
Phone
(515) 679-5969
NPI assigned
Apr 14, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2026

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

Authorized official

Name
Jamie Marie AvendtNPI 1497156681
Title
Owner
Phone
(515) 679-5969

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
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

9901 NW 62ND Ave
Johnston, IA 50131-1715

Mailing address

4146 143Rd CT
Urbandale, IA 50323-2685
Phone (515) 679-5969

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260610001034 IA Part B Supplier - Clinic/Group Practice 0941771984 Receives reassigned benefits from 1 practitioner
Practice locations: Johnston, IA

National Provider Directory

National Provider Directory

Locations

9901 NW 62nd Ave
Johnston, IA 50131
Phone (515) 679-5969

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1776124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785974400000",
    "number": "1679416580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4146 143RD CT",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503232685",
            "telephone_number": "515-679-5969",
            "fax_number": "515-679-5969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9901 NW 62ND AVE",
            "city": "JOHNSTON",
            "state": "IA",
            "postal_code": "501311715",
            "telephone_number": "515-679-5969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COURAGE COUNSELING CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-14",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A",
        "authorized_official_last_name": "AVENDT",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "515-679-5969"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnston, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.