Square One Counseling, Inc.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

SQUARE ONE COUNSELING, INC.

Practice address

950 Office Park Rd Ste 335
West Des Moines, IA 50265-2548

Phone

(515) 321-2082

NPI assigned

Jun 24, 2025

Last updated

Sep 18, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

James BustamanteNPI 1134316003

Title

President

Phone

(515) 321-2082

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• James Edward Bustamante, M.A., LMHC

  • Mental Health Counselor
  • Grimes, IA
  • NPI 1134316003
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1750723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758153600000",
    "number": "1922996644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 NE EWING CT",
            "city": "GRIMES",
            "state": "IA",
            "postal_code": "501111109",
            "telephone_number": "515-321-2082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 OFFICE PARK RD STE 335",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502652548",
            "telephone_number": "515-321-2082"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "209 NE Ewing Ct",
            "address_purpose": "LOCATION",
            "city": "Grimes",
            "state": "IA",
            "postal_code": "501111109",
            "country_code": "US",
            "telephone_number": "515-321-2082",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SQUARE ONE COUNSELING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-24",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A",
        "authorized_official_last_name": "BUSTAMANTE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "515-321-2082"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jean B Spencer, M.D.
• Jennifer A Spendlove, ARNP
• Debra Lynn Spenner
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• Alexandria Nicole Stafford
• Paula Elizabeth Stageman, ARNP

• Mental Health Counselor in West Des Moines, IA
• Providers in West Des Moines, 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 Sep 18, 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.