Kimberly Athuman
Individual provider Active NPI Mental Health Counselor · Des Moines, IA
NPI 1699207134 · NPPES record last updated Oct 5, 2023
Key facts
- NPI
- 1699207134
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 008253 (IA)
- Practice address
- 901 Thomas Beck Rd
Des Moines, IA 50315-1064 - Phone
- (515) 809-2295
- NPI assigned
- Apr 3, 2017
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Midwest Post Acute Care PLLC
Practice addresses (Care Compare)
100 Ram Dr
Jefferson, IA 50129-2728
Phone (515) 386-4107
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260219004346 | IA | Practitioner - Clinical Social Worker | 1658865811 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008253 | IA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Post Acute Care PLLC | Clinical | Current |
Accepting new patients |
Locations
3510 NW Abilene Rd
Ankeny, IA 50023
Phone (515) 963-9815
100 Ram Dr
Jefferson, IA 50129
Phone (515) 386-4107
204 N Keokuk Washington Rd
Keota, IA 52248
Phone (641) 636-3400
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 008253 | IA | Yes |
| Clinical Social Worker | 1041C0700X | 008253 | IA |
Addresses
Primary practice location
901 Thomas Beck Rd
Des Moines, IA 50315-1064
Mailing address
500 SW 7TH St Ste 302
Des Moines, IA 50309-4545
Phone (515) 809-2295
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| X000220247 | Medicaid | IA |
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All providers in Des Moines, IA · Mental Health Counselor in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 5, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.