Individual provider Active NPI

Kennedy Ryann Wall, LMHC

  • Mental Health Counselor
  • Ankeny, IA
National Provider Identifier
1952151763
Registry record updated Jun 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
124165 Issued in IA
Practice address
2825 S Ankeny Blvd Ste 101
Ankeny, IA 50023-9417
Phone
(515) 989-8266
NPI assigned
Mar 25, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2026

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 124165 IA Primary

Addresses

Primary practice location

2825 S Ankeny Blvd Ste 101
Ankeny, IA 50023-9417

Mailing address

2920 NW 20TH LN Unit 204
Ankeny, IA 50023-9387
Phone (402) 214-5595

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
124165IAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Compass Tree LLC Mental Health CurrentSince Mar 31, 2024 Accepting new patients
Halls Life Counseling, LLC. Mental Health Past Accepting new patients
Compass Tree LLC PastSince Mar 31, 2024 Accepting new patients

Locations

600 5th St
Ste 300
Ames, IA 50010
Phone (515) 233-3971

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1711324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782777600000",
    "number": "1952151763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2920 NW 20TH LN UNIT 204",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500239387",
            "telephone_number": "402-214-5595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2825 S ANKENY BLVD STE 101",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500239417",
            "telephone_number": "515-989-8266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALL",
        "first_name": "KENNEDY",
        "middle_name": "RYANN",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-25",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "124165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ankeny, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2026; 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.