Organization Active NPI

The Beverly Center for Trauma Therapy, PLLC

  • Mental Health Counselor
  • Clive, IA
National Provider Identifier
1881282952
Registry record updated Oct 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
THE BEVERLY CENTER FOR TRAUMA THERAPY, PLLC
Practice address
8565 Harbach Blvd Ste 305
Clive, IA 50325-1038
Phone
(515) 650-6844
Fax
(515) 650-6768
NPI assigned
Jan 5, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2025

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

Authorized official

Name
Emberly Joe LashleyNPI 1003308115
Title
LMHC
Phone
(515) 650-6844

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X

Addresses

Primary practice location

8565 Harbach Blvd Ste 305
Clive, IA 50325-1038

Mailing address

155 Glendale Dr
Waukee, IA 50263-8534
Phone (480) 232-4076

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240528002402 IA Part B Supplier - Clinic/Group Practice 3870935422 Receives reassigned benefits from 1 practitioner
Practice locations: Clive, IA

National Provider Directory

National Provider Directory

Locations

7405 University Ave
Ste 10
Clive, IA 50325
Phone (515) 650-6844

8565 Harbach Blvd
Ste 305
Clive, IA 50325
Phone (515) 650-6844

2015 Grand Ave
Ste 201
Des Moines, IA 50312

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1609804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759276800000",
    "number": "1881282952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 GLENDALE DR",
            "city": "WAUKEE",
            "state": "IA",
            "postal_code": "502638534",
            "telephone_number": "480-232-4076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8565 HARBACH BLVD STE 305",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503251038",
            "telephone_number": "515-650-6844",
            "fax_number": "515-650-6768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BEVERLY CENTER FOR TRAUMA THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-05",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A",
        "authorized_official_last_name": "LASHLEY",
        "authorized_official_first_name": "EMBERLY",
        "authorized_official_middle_name": "JOE",
        "authorized_official_title_or_position": "LMHC",
        "authorized_official_telephone_number": "515-650-6844"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clive, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.