Healthcare Provider Details

I. General information

NPI: 1144143744
Provider Name (Legal Business Name): KIEL, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2026
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1370 NW 114TH ST STE 206
CLIVE IA
50325-7011
US

IV. Provider business mailing address

4320 BEAVER HILLS DR
DES MOINES IA
50310-6300
US

V. Phone/Fax

Practice location:
  • Phone: 515-267-0030
  • Fax:
Mailing address:
  • Phone: 515-267-0030
  • Fax: 515-225-2682

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: RANDALL L KIEL
Title or Position: OWNER
Credential: LMHC
Phone: 515-267-0030