Individual provider Active NPI

Breanne Ward, LMHC

  • Mental Health Counselor
  • Des Moines, IA
National Provider Identifier
1932565736
Registry record updated Feb 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
074566 Issued in IA
Practice address
431 28TH Street
Suite 102
Des Moines, IA 50312-4400
Phone
(515) 996-5935
Fax
(515) 414-7638
NPI assigned
Jan 8, 2016
Last updated
Feb 20, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 074566 IA Primary

Addresses

Primary practice location

431 28TH Street
Suite 102
Des Moines, IA 50312-4400

Mailing address

431 28TH Street
Suite 102
Des Moines, IA 50312-4400
Phone (515) 996-5935

Other practice location 1

333 SW 9th St Ste J
Des Moines, IA 50309-4440
Phone (515) 210-0969

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
074566IAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Forward Consulting Mental Health CurrentSince Nov 8, 2020 Accepting new patients

Locations

4309 University Ave
Des Moines, IA 50311
Phone (515) 410-1716

Organizations & group practices 1

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": "1452211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582156800000",
    "number": "1932565736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 28TH STREET",
            "address_2": "SUITE 102",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503124400",
            "telephone_number": "515-996-5935",
            "fax_number": "515-414-7638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 28TH STREET",
            "address_2": "SUITE 102",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503124400",
            "telephone_number": "515-996-5935",
            "fax_number": "515-414-7638"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "333 SW 9th St Ste J",
            "address_purpose": "LOCATION",
            "city": "Des Moines",
            "state": "IA",
            "postal_code": "503094440",
            "country_code": "US",
            "telephone_number": "515-210-0969",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARD",
        "first_name": "BREANNE",
        "name_prefix": "Mrs.",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-08",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "074566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Feb 20, 2020; 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.