Self-Alignment Evaluation and Outpatient Treatment Services, LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

SELF-ALIGNMENT EVALUATION AND OUTPATIENT TREATMENT SERVICES, LLC

Practice address

100 E Euclid Ave Ste 157
Des Moines, IA 50313-4583

Phone

(515) 868-1818

NPI assigned

Aug 16, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Jerome Miller, M.S., (T)LMHC, IADCNPI 1396146163

Title

Executive Director/Counselor

Phone

(515) 865-7783

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Practitioners 1

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

• Jerome Miller

  • Addiction (Substance Use Disorder) Counselor
  • Urbandale, IA
  • NPI 1396146163
  NPD Authorized official

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

{
    "created_epoch": "1660608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660608000000",
    "number": "1770201675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E EUCLID AVE STE 157",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503134583",
            "telephone_number": "515-868-1818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E EUCLID AVE STE 157",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503134583",
            "telephone_number": "515-868-1818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELF-ALIGNMENT EVALUATION AND OUTPATIENT TREATMENT SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-16",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-15",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "JEROME",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR/COUNSELOR",
        "authorized_official_telephone_number": "515-865-7783",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.S., (T)LMHC, IADC"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVER'S LICENSE NUMBER",
            "identifier": "284UU5368",
            "state": "IA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://secure.simplepractice.com/practice_settings/insurance_providers",
            "affiliation": "N",
            "endpointDescription": "Healthcare Management system",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "100 E Euclid Ave Ste 157",
            "city": "Des Moines",
            "state": "IA",
            "country_code": "US",
            "postal_code": "503134583",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Penny Seidenkranz, MAED
• David Seiler, PHARM.D.
• Kari Lynn Seivert, OTR/L, CLT-LANA
• Elaine Marie Harlan Selden, NP-C
• Select Specialty Hospital - Des Moines, Inc.
• Self-Awareness, LLC
• Self-Awareness, LLC
• Myke Selha, L.I.S.W.
• Jennifer Ann Selix, RN
• Douglas E Selover, DO

• Substance Use Disorder Rehabilitation Clinic/Center in Des Moines, IA
• Providers in Des Moines, IA by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.