Healthcare Provider Details

I. General information

NPI: 1972447134
Provider Name (Legal Business Name): JESSICA LYNN BUNCH LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/17/2026
Last Update Date: 04/17/2026
Certification Date: 04/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2340 EUCLID AVE
DES MOINES IA
50310-5702
US

IV. Provider business mailing address

1403 SE MICHAEL DR
ANKENY IA
50021-3976
US

V. Phone/Fax

Practice location:
  • Phone: 515-235-5224
  • Fax: 866-672-0706
Mailing address:
  • Phone: 515-357-2721
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number138581
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: