Organization Active NPI

Thriving Families Counseling Services Inc.

  • Clinical Social Worker
  • West Des Moines, IA
National Provider Identifier
1730560939
Registry record updated Dec 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
007303 Issued in IA
Legal business name
THRIVING FAMILIES COUNSELING SERVICES INC.
Practice address
1741 Grand Ave
West Des Moines, IA 50265-5076
Phone
(515) 210-0969
Fax
(515) 462-0504
NPI assigned
Jun 12, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2024

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

Authorized official

Name
Mr. William Fredrick Walker, LISWNPI 1689776536
Title
Clinical Director
Phone
(515) 210-0969

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 007303 IA Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Addresses

Primary practice location

1741 Grand Ave
West Des Moines, IA 50265-5076

Mailing address

2501 Grand Ave
Des Moines, IA 50312-5342
Phone (515) 210-0969

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211109000219 IA Part B Supplier - Clinic/Group Practice 5395134654 Receives reassigned benefits from 1 practitioner
Practice locations: Des Moines, IA

National Provider Directory

National Provider Directory

Locations

333 SW 9th St
Ste J
Des Moines, IA 50309
Phone (515) 554-0878

1741 Grand Ave
West Des Moines, IA 50265
Phone (515) 210-0969

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1434067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733443200000",
    "number": "1730560939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 GRAND AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503125342",
            "telephone_number": "515-210-0969",
            "fax_number": "515-462-0504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1741 GRAND AVE",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502655076",
            "telephone_number": "515-210-0969",
            "fax_number": "515-462-0504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIVING FAMILIES COUNSELING SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-12",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "FREDRICK",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "515-210-0969",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "007303",
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Dec 6, 2024; 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.