MEDICARE: KELSEY MYERS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist

General Provider Information

NPI Number	:	1639032717
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KELSEY MYERS LLC

Provider Business Mailing Address
First Line	:	1200 VALLEY WEST DR STE 102
Second Line	:
City	:	WEST DES MOINES
State	:	IA
Zip	:	50266-1902
Country	:	US
Telephone Number	:	515-421-9906
Fax Number	:

Provider Business Practice Location Address
First Line	:	1200 VALLEY WEST DR STE 102
Second Line	:
City	:	WEST DES MOINES
State	:	IA
Zip	:	50266-1902
Country	:	US
Telephone Number	:	515-421-9906
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	KELSEY MYERS
Credential	:	LMFT
Telephone Number	:	712-298-0701

Provider Enumeration Date	:	12/05/2025
Last Update Date	:	12/05/2025

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