Healthcare Provider Details

I. General information

NPI: 1679416580
Provider Name (Legal Business Name): COURAGE COUNSELING CENTER, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/14/2026
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9901 NW 62ND AVE
JOHNSTON IA
50131-1715
US

IV. Provider business mailing address

4146 143RD CT
URBANDALE IA
50323-2685
US

V. Phone/Fax

Practice location:
  • Phone: 515-679-5969
  • Fax:
Mailing address:
  • Phone: 515-679-5969
  • Fax: 515-679-5969

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 MARIE AVENDT
Title or Position: OWNER
Credential:
Phone: 515-679-5969