Healthcare Provider Details

I. General information

NPI: 1891656294
Provider Name (Legal Business Name): THERAPEIA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/24/2025
Last Update Date: 11/24/2025
Certification Date: 11/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9001 HICKMAN RD STE 300
URBANDALE IA
50322-5360
US

IV. Provider business mailing address

4212 82ND ST
URBANDALE IA
50322-1504
US

V. Phone/Fax

Practice location:
  • Phone: 515-205-2925
  • Fax:
Mailing address:
  • Phone: 515-975-7831
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: KRISTIN RODENBERG
Title or Position: OWNER
Credential: LISW
Phone: 515-975-7831