Organization Active NPI

Kingdom Living Iowa

  • Peer Specialist
  • Des Moines, IA
National Provider Identifier
1932093044
Registry record updated Jun 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
Legal business name
KINGDOM LIVING IOWA
Practice address
3120 SW 9TH St
Des Moines, IA 50315-2205
Phone
(515) 499-2105
NPI assigned
Jun 4, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2025

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

Authorized official

Name
Elizabeth Mussmann
Title
Recovery Center Lead
Phone
(515) 499-2105

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 175T00000X Primary

Addresses

Primary practice location

3120 SW 9TH St
Des Moines, IA 50315-2205

Mailing address

3120 SW 9TH St
Des Moines, IA 50315-2205

Other names 1

  • RiSE Recovery Center Doing business as

National Provider Directory

National Provider Directory

Locations

3120 SW 9th St
Des Moines, IA 50315
Phone (515) 499-2105

Practitioners & affiliated clinicians

Practitioners 1

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": "1748995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748995200000",
    "number": "1932093044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3120 SW 9TH ST",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503152205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3120 SW 9TH ST",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503152205",
            "telephone_number": "515-499-2105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGDOM LIVING IOWA",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-04",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A",
        "authorized_official_last_name": "MUSSMANN",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "RECOVERY CENTER LEAD",
        "authorized_official_telephone_number": "515-499-2105"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RiSE Recovery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.