Jace Davidson

Individual provider Active NPI Professional Counselor · West Des Moines, IA

NPI 1972391084 · NPPES record last updated Aug 19, 2026

Key facts

NPI
1972391084
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
Practice address
7545 Ashworth Rd Ste 210
West Des Moines, IA 50266-5954
Phone
(515) 644-8224
NPI assigned
Apr 28, 2025
Sex
Male
Sole proprietor
No

Organizations & group practices 2

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.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Psychiatric Associates of Iowa, PC Current
since May 4, 2025
Accepting new patients
Psychiatric Associates of Iowa, PC Current
since May 4, 2025
Accepting new patients

Locations

1290 Jordan St
North Liberty, IA 52317
Phone (319) 356-6352

7545 Ashworth Rd
Ste 210
West Des Moines, IA 50266
Phone (515) 644-8224

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X IA Yes

Addresses

Primary practice location

7545 Ashworth Rd Ste 210
West Des Moines, IA 50266-5954

Mailing address

1290 Jordan St
North Liberty, IA 52317-8020

Other providers in West Des Moines, IA

All providers in West Des Moines, IA · Professional Counselor in Iowa

Sources for this page

Verify at the official NPI Registry.