Healthcare Provider Details

I. General information

NPI: 1780519272
Provider Name (Legal Business Name): THREADS COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/16/2026
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1201 BOONE ST
BOONE IA
50036-2130
US

IV. Provider business mailing address

1333 BUCKEYE AVE # 1056
AMES IA
50010-8073
US

V. Phone/Fax

Practice location:
  • Phone: 515-992-6696
  • Fax:
Mailing address:
  • Phone: 515-992-6696
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: JAMIE MORROW ROYS
Title or Position: CREDENTIALING COORD/BILLING MANAGER
Credential:
Phone: 515-230-3308