Healthcare Provider Details

I. General information

NPI: 1750248019
Provider Name (Legal Business Name): BISENIUS COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/08/2026
Last Update Date: 01/08/2026
Certification Date: 01/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1444 NW 124TH CT
CLIVE IA
50325-8150
US

IV. Provider business mailing address

1545 SE GREENBRIAR CIR
WAUKEE IA
50263-9693
US

V. Phone/Fax

Practice location:
  • Phone: 515-375-1160
  • Fax: 515-477-2255
Mailing address:
  • Phone: 515-375-1160
  • Fax: 515-477-2255

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: JOHN ANTHONY BISENIUS
Title or Position: OWNER/THERAPIST
Credential: LMHC
Phone: 515-375-1160