Individual provider Active NPI

Kayla Jean Davidson

  • Clinical Psychologist
  • West Des Moines, IA
National Provider Identifier
1801129572
Registry record updated Dec 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
072852 Issued in IA
Practice address
5000 Westown Pkwy Ste 360
West Des Moines, IA 50266-5942
Phone
(515) 859-8412
NPI assigned
Sep 14, 2009
Last updated
Dec 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 072852 IA Primary

Addresses

Primary practice location

5000 Westown Pkwy Ste 360
West Des Moines, IA 50266-5942

Mailing address

5000 Westown Pkwy Ste 360
West Des Moines, IA 50266-5942
Phone (515) 859-8412

Other practice location 1

2515 University Blvd Ste 102
Ames, IA 50010-8628
Phone (515) 859-8412

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190201000426 IA Practitioner - Clinical Psychologist 3375880149 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5000 Westown Pkwy
Suite 360
West Des Moines, IA 50266-5942
Phone (515) 859-8412

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kayla Davidson, LLC Clinical CurrentSince Sep 6, 2022 Accepting new patients
Integrative Counseling Solutions Inc. PastSince Nov 1, 2022 Accepting new patients

Locations

950 Office Park Rd
Ste 306
West Des Moines, IA 50265
Phone (515) 859-8412

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1252886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765670400000",
    "number": "1801129572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 WESTOWN PKWY STE 360",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502665942",
            "telephone_number": "515-859-8412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 WESTOWN PKWY STE 360",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502665942",
            "telephone_number": "515-859-8412"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2515 University Blvd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Ames",
            "state": "IA",
            "postal_code": "500108628",
            "country_code": "US",
            "telephone_number": "515-859-8412",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "KAYLA",
        "middle_name": "JEAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-14",
        "last_updated": "2025-12-14",
        "certification_date": "2025-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IA",
            "license": "072852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Des Moines, IA

Sources for this page

Verify at the official NPI Registry.