Taya Amundson, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

077179 Issued in IA

Practice address

4720 Mortensen Rd Ste 101
Ames, IA 50014-5534

Phone

(515) 599-8904

NPI assigned

Jan 14, 2020

Sex

Female

Sole proprietor

No

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

Medicare enrollment (NPD)

Not enrolled

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.

• Cornerstone Counseling Center of Ames, Inc

  • Counselor
  • Ames, IA
  • NPI 1467009175
  NPD

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

{
    "created_epoch": "1578960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578960000000",
    "number": "1689214017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4720 MORTENSEN RD STE 101",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500145534",
            "telephone_number": "515-599-8904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4720 MORTENSEN RD STE 101",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500145534",
            "telephone_number": "515-599-8904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMUNDSON",
        "first_name": "TAYA",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-14",
        "last_updated": "2020-01-14",
        "certification_date": "2020-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "077179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ames Psychological Wellness Center, PLC
• Ames Spine & Sport PLLC
• Ames Surgery Center LLC
• Rupal V. Amin, M.D.
• Lavanya Amuluru, MD, MD
• Amy C Kuehl, Lisw, LLC
• Trisha Lynn Andersen, DO
• Brenda Allison Anderson, L.I.S.W.
• Courtney S. Anderson, MS, TLMHC
• Meagen Anderson, PA-C

• All providers in Ames, IA
• Clinical Social Worker in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2020; 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.