Shana Boger, LMFT, CADC
Individual provider Active NPI Marriage & Family Therapist · Urbandale, IA
NPI 1770139792 · NPPES record last updated Jan 17, 2024
Key facts
- NPI
- 1770139792
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 096417 (IA)
- Practice address
- 2900 100TH St Ste 207
Urbandale, IA 50322-3851 - Phone
- (712) 269-5610
- NPI assigned
- Aug 15, 2019
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 096417 | IA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mosaic Family Counseling Center, Inc. | Current |
Accepting new patients | |
| Balanced Within, LLC | Current | Accepting new patients |
Locations
6200 Aurora Ave
Ste 305E
Urbandale, IA 50322
Phone (515) 724-8920
2900 100th St
Ste 207
Urbandale, IA 50322
Phone (319) 240-5505
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 096417 | IA | Yes |
Addresses
Primary practice location
2900 100TH St Ste 207
Urbandale, IA 50322-3851
Mailing address
2900 100TH St Ste 207
Urbandale, IA 50322-3851
Phone (712) 269-5610
Other practice location 1
6200 Aurora Ave Ste 305E
Urbandale, IA 50322-2863
Phone (515) 724-8920
Other providers in Urbandale, IA
- Bloom Women'S Wellness, LLC
- Blooming Life Center LLC
- Blue Stone Therapy Inc.
- Blue Stone Therapy Inc.
- Bluebird Behavioral Health
- Jessalynn Bradley
- Ami Bradwell
- Jailyn Antoinette Brewer Chapman
- Kyle J Brinning
- Curtis Alan Broek
All providers in Urbandale, IA · Marriage & Family Therapist in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 17, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.