Organization Active NPI

Wellness Iowa PLLC

  • Clinical Social Worker
  • West Des Moines, IA
National Provider Identifier
1952177693
Registry record updated Dec 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
WELLNESS IOWA PLLC
Practice address
1200 Valley West Dr Ste 203
West Des Moines, IA 50266-1902
Phone
(515) 619-6927
Fax
(515) 619-6927
NPI assigned
Dec 4, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2023

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

Authorized official

Name
Kim Tallon, LISW
Title
Owner, Therapist
Phone
(515) 520-7877

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1200 Valley West Dr Ste 203
West Des Moines, IA 50266-1902

Mailing address

1200 Valley West Dr Ste 203
West Des Moines, IA 50266-1902
Phone (515) 619-6927

Other names 1

  • Edison Eating Disorder and Mental Health Services Doing business as

National Provider Directory

National Provider Directory

Locations

1200 Valley West Dr
Ste 203
West Des Moines, IA 50266
Phone (515) 225-3770

Practitioners & affiliated clinicians

Practitioners 3

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": "1701648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701648000000",
    "number": "1952177693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 VALLEY WEST DR STE 203",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502661902",
            "telephone_number": "515-619-6927",
            "fax_number": "515-619-6927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 VALLEY WEST DR STE 203",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502661902",
            "telephone_number": "515-619-6927",
            "fax_number": "515-619-6927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS IOWA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-04",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-02",
        "status": "A",
        "authorized_official_last_name": "TALLON",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "OWNER, THERAPIST",
        "authorized_official_telephone_number": "515-520-7877",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Edison Eating Disorder and Mental Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; 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.