Marina McCollom, MA, T-LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

111322 Issued in IA

Practice address

1603 22ND St Ste 200
West Des Moines, IA 50266-1410

Phone

(515) 601-0411

NPI assigned

Jan 18, 2022

Last updated

Jan 18, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Oct 28, 2025 through Oct 28, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1642464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642464000000",
    "number": "1760133094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1603 22ND ST STE 200",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502661410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1603 22ND ST STE 200",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502661410",
            "telephone_number": "515-601-0411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOLLOM",
        "first_name": "MARINA",
        "credential": "MA, T-LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-18",
        "last_updated": "2022-01-18",
        "certification_date": "2022-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "111322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Curtis Lee McCarty III, M.D.
• Marshall James McCarty, P.A.-C
• Julie McClatchey, MSW, LISW
• McCleary Internal Medicine PC
• Heather E. McClellan, LPT
• Matthew P McCormick, M.D.
• Ellie Jane McCoy
• Phillip McCullough, DPT
• Ruth McDanel, DC
• Jill Janine McDermott, P.T.A.

• Mental Health Counselor in West Des Moines, IA
• Providers in West Des Moines, IA by specialty
• Mental Health Counselor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2022; 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.

Verify at the official NPI Registry.