Amanda L Bocock, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

000396 Issued in IA

Practice address

309 Court Ave
Suite 241
Des Moines, IA 50309-2245

Phone

(515) 875-4936

Fax

(515) 875-4816

NPI assigned

Mar 5, 2013

Sex

Female

Sole proprietor

Yes

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.

• Solace Family Therapy and Consulting LLC

  • Marriage & Family Therapist
  • Ankeny, IA
  • NPI 1881586782

  IA

  Medicare reassignment Authorized official
• WR Jacobs Enterprises, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Ankeny, IA
  • NPI 1104519065

  IA

  Medicare reassignment NPD
• Alli Center LLC

  • Clinical Social Worker
  • Coralville, IA
  • NPI 1699286427

  IA

  Medicare reassignment
• Sampson Family Therapy Services LLC

  • Marriage & Family Therapist
  • Des Moines, IA
  • NPI 1619377595
  NPD (past)

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.

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 1, 2016.

{
    "created_epoch": "1362441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454284800000",
    "number": "1831430628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 COURT AVE",
            "address_2": "SUITE 241",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503092245",
            "telephone_number": "515-875-4936",
            "fax_number": "515-875-4816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 COURT AVE",
            "address_2": "SUITE 241",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503092245",
            "telephone_number": "515-875-4936",
            "fax_number": "515-875-4816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOCOCK",
        "first_name": "AMANDA",
        "middle_name": "L",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-05",
        "last_updated": "2016-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IA",
            "license": "000396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David J Boarini, M.D.
• Robert Boarman, OTR/L
• Melvin T. Bobo, LISW
• Susan Renae Bocken, RPH
• Gregory Bockenstedt
• Amylynn Kline Bodensteiner
• Jennifer P Bodensteiner, MS CCCSLP
• Truston Bodine, MD, PHD
• Jessica Boecker, SLP
• Caroline Boehnke, MD

• All providers in Des Moines, IA
• Marriage & Family Therapist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2016; 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.