Kathleen Alexander, LMFT

Individual provider Active NPI Marriage & Family Therapist · West Des Moines, IA

NPI 1730270604 · NPPES record last updated Aug 19, 2019

Key facts

NPI
1730270604
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
00126 (IA)
Practice address
1200 Valley West Dr Ste 408
West Des Moines, IA 50266-1942
Phone
(515) 421-4508
Fax
(515) 225-7546
NPI assigned
Sep 27, 2006
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
00126IAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Boone County Hospital Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 00126 IA Yes

Addresses

Primary practice location

1200 Valley West Dr Ste 408
West Des Moines, IA 50266-1942

Mailing address

1200 Valley West Dr Ste 408
West Des Moines, IA 50266-1942
Phone (515) 421-4508

Other identifiers

IdentifierTypeStateIssuer
1198382MedicaidIA

Other providers in West Des Moines, IA

All providers in West Des Moines, IA · Marriage & Family Therapist in Iowa

Sources for this page

Verify at the official NPI Registry.