Kendal A Paulsen, MS, TLMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

080948 Issued in IA

Practice address

427 E Kanesville Blvd
Suite: 102
Council Bluffs, IA 51503-9079

Phone

(712) 249-5422

NPI assigned

Jan 16, 2017

Sex

Female

Sole proprietor

Yes

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Master of Science - Law

State licenses

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

• Integrated Therapy Resources

  • Mental Health Counselor
  • Council Bluffs, IA
  • NPI 1457829913
  Medicare reassignment

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

{
    "created_epoch": "1484524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737676800000",
    "number": "1811433782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24480 RICHFIELD LOOP",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515034273",
            "telephone_number": "712-249-5422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 E KANESVILLE BLVD",
            "address_2": "SUITE: 102",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515039079",
            "telephone_number": "712-249-5422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAULSEN",
        "first_name": "KENDAL",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "MS, TLMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-16",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "080948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Leigh Parker, ARNP
• Connie Jean Parker, ARRT
• Tammana J Patel, APRN-NP
• Pathlab LTD.
• Beverly Patterson, PTA, LMT
• Kimberly Paulsen
• Sherri Sue Payne, CRNP
• Traci Michelle Payne, RDH
• Raymond Peak
• Katie Marie Peck, M.S.

• Mental Health Counselor in Council Bluffs, IA
• Providers in Council Bluffs, 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 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.