Active NPI
Mary Ramona Wink, LMHC
- Mental Health Counselor
- West Des Moines, IA
National Provider Identifier
1699343202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 093611
- Practice address
- 6600 Westown Pkwy Ste 240
West Des Moines, IA 50266-7714 - Phone
- (515) 402-4391
- NPI assigned
- Jun 11, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 093611 | IA | Primary |
Addresses
Primary practice location
6600 Westown Pkwy Ste 240
West Des Moines, IA 50266-7714
Mailing address
6600 Westown Pkwy Ste 240
West Des Moines, IA 50266-7714
Phone (515) 402-4391
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 093611 | IA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623369600000",
"number": "1699343202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6600 WESTOWN PKWY STE 240",
"city": "WEST DES MOINES",
"state": "IA",
"postal_code": "502667714",
"telephone_number": "515-402-4391"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6600 WESTOWN PKWY STE 240",
"city": "WEST DES MOINES",
"state": "IA",
"postal_code": "502667714",
"telephone_number": "515-402-4391"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WINK",
"first_name": "MARY",
"middle_name": "RAMONA",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-11",
"last_updated": "2021-06-11",
"certification_date": "2021-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IA",
"license": "093611",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Jun 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.