Individual provider Active NPI

Leann Waterhouse, PHD

  • Counseling Psychologist
  • Des Moines, IA
National Provider Identifier
1851738322
Registry record updated May 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
001287 Issued in IA
Practice address
2130 Grand Ave Ste B
Des Moines, IA 50312-5384
Phone
(515) 270-0280
NPI assigned
May 23, 2013
Last updated
May 23, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 001287 IA Primary

Addresses

Primary practice location

2130 Grand Ave Ste B
Des Moines, IA 50312-5384

Mailing address

2130 Grand Ave Ste B
Des Moines, IA 50312-5384
Phone (515) 270-0280

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
I20240501002582 IA Practitioner - Clinical Psychologist 4486919917 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
001287IAMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Willow Grove Therapy Group LLC Counseling CurrentSince Apr 1, 2024 Accepting new patients
Julie McClatchey, Lisw, PC PastSince Apr 1, 2024 Accepting new patients
Innovative Learning Professionals LC Past Accepting new patients

Locations

9105 Northpark Dr
Johnston, IA 50131
Phone (515) 884-8802

Organizations & group practices 3

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": "1369267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369267200000",
    "number": "1851738322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2130 GRAND AVE STE B",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503125384",
            "telephone_number": "515-270-0280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2130 GRAND AVE STE B",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503125384",
            "telephone_number": "515-270-0280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATERHOUSE",
        "first_name": "LEANN",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-23",
        "last_updated": "2013-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "IA",
            "license": "001287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.