Healthcare Provider Details

I. General information

NPI: 1124099775
Provider Name (Legal Business Name): AMES COUNSELING AND PSYCHOLOGICAL SERVICES PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/31/2006
Last Update Date: 09/29/2025
Certification Date: 09/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3600 LINCOLN WAY SUITE 4
AMES IA
50014-7595
US

IV. Provider business mailing address

3600 LINCOLN WAY SUITE 4
AMES IA
50014-7595
US

V. Phone/Fax

Practice location:
  • Phone: 515-239-4410
  • Fax: 515-663-4885
Mailing address:
  • Phone: 515-239-4410
  • Fax: 515-663-4885

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. KENNETH ISRAEL
Title or Position: ADMINISTRATOR
Credential: PH.D.
Phone: 515-239-4410