Active NPI
Wellness Iowa PLLC
- Clinical Social Worker
- West Des Moines, IA
National Provider Identifier
1952177693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Clinical Social Worker
- West Des Moines, IA
- NPI 1972332245
-
- Clinical Social Worker
- West Des Moines, IA
- NPI 1740968304
-
- Clinical Social Worker
- Dubuque, IA
- NPI 1740679745
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.