Individual provider Active NPI

Mary Grace Sherer, MA/LP

  • Mental Health Counselor
  • West Des Moines, IA
National Provider Identifier
1962437376
Registry record updated Jun 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
00557 Issued in IA
Practice address
2929 Westown Parkway
Suite 110 Des Moines Pastoral Counseling Center
West Des Moines, IA 50266
Phone
(515) 274-4006
Fax
(515) 255-5697
NPI assigned
Jul 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2011

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 00557 IA Primary

Addresses

Primary practice location

2929 Westown Parkway
Suite 110 Des Moines Pastoral Counseling Center
West Des Moines, IA 50266

Mailing address

8553 Urbandale Ave
Suite 110 Des Moines Pastoral Counseling Center
Urbandale, IA 50322-4108
Phone (515) 274-4006

Other names 1

  • Mary Grace Percival Former name

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
00557IAMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mind and Spirit Counseling Center Mental Health Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307491200000",
    "number": "1962437376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8553 URBANDALE AVE",
            "address_2": "SUITE 110 DES MOINES PASTORAL COUNSELING CENTER",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503224108",
            "telephone_number": "515-274-4006",
            "fax_number": "515-255-5697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2929 WESTOWN PARKWAY",
            "address_2": "SUITE 110 DES MOINES PASTORAL COUNSELING CENTER",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "50266",
            "telephone_number": "515-274-4006",
            "fax_number": "515-255-5697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERER",
        "first_name": "MARY",
        "middle_name": "GRACE",
        "name_prefix": "Dr.",
        "credential": "MA/LP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2011-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "00557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "PERCIVAL",
            "middle_name": "GRACE",
            "credential": "MA/LP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Jun 8, 2011; 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.