Ananda Mental Wellness and Yoga, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

ANANDA MENTAL WELLNESS AND YOGA, LLC

Practice address

4685 Merle Hay Rd Ste 108
Des Moines, IA 50322-1982

Phone

(515) 494-1024

NPI assigned

Apr 27, 2020

Organization subpart

No

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

Authorized official

Name

Ms. Amber Lee Wilson, MSW, LISW

Title

Owner

Phone

(515) 494-1024

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Locations

Practitioners 1

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

• Amber Lee Crosby, MSW, LISW

  • Clinical Social Worker
  • Des Moines, IA
  • NPI 1194226670
  Medicare reassignment NPD

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

{
    "created_epoch": "1587945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587945600000",
    "number": "1710508197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4685 MERLE HAY RD STE 108",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503221982",
            "telephone_number": "515-494-1024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4685 MERLE HAY RD STE 108",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503221982",
            "telephone_number": "515-494-1024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANANDA MENTAL WELLNESS AND YOGA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-27",
        "last_updated": "2020-04-27",
        "certification_date": "2020-04-27",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "AMBER",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "515-494-1024",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW, LISW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Donald James Anciaux III

• Mental Health Clinic/Center (Including Community Mental Health Center) in Des Moines, IA
• Providers in Des Moines, IA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2020; 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.