Individual provider Active NPI

Theresa R Espinosa, LISW, IADC

  • Mental Health Counselor
  • Ames, IA
National Provider Identifier
1699470260
Registry record updated Aug 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
119205 Issued in IA
Practice address
1619 S High Ave
Ames, IA 50010-8055
Phone
(515) 232-3206
NPI assigned
Apr 3, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 22175 IA
Mental Health Counselor 101YM0800X 119205 IA Primary

Addresses

Primary practice location

1619 S High Ave
Ames, IA 50010-8055

Mailing address

521 6TH St
Maxwell, IA 50161-7711
Phone (515) 460-2375

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250909002403 IA Practitioner - Clinical Social Worker 8426550278 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Richmond CenterGroup PAC ID 2365346822, 8 clinicians

Practice addresses (Care Compare)

1619 S High Ave
Ames, IA 50010-8055
Phone (515) 232-5811

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22175IAMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Community and Family Resources CurrentSince Jul 24, 2025 Accepting new patients
The Richmond Center Mental Health CurrentSince Jul 24, 2025 Accepting new patients

Locations

1619 S High Ave
Ames, IA 50010
Phone (515) 232-3206

1332 S Marshall St
Boone, IA 50036
Phone (515) 433-0316

211 Avenue M W
Fort Dodge, IA 50501
Phone (515) 576-7261

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1680480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754870400000",
    "number": "1699470260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 6TH ST",
            "city": "MAXWELL",
            "state": "IA",
            "postal_code": "501617711",
            "telephone_number": "515-460-2375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1619 S HIGH AVE",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500108055",
            "telephone_number": "515-232-3206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESPINOSA",
        "first_name": "THERESA",
        "middle_name": "R",
        "credential": "LISW, IADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-03",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IA",
            "license": "22175",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "119205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ames, IA

Sources for this page

Verify at the official NPI Registry.