Healthcare Provider Details

I. General information

NPI: 1386527661
Provider Name (Legal Business Name): BRIDGET BENCKE-HIVELEY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/25/2025
Last Update Date: 08/18/2025
Certification Date: 08/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5000 WESTOWN PKWY STE 360
WEST DES MOINES IA
50266-5921
US

IV. Provider business mailing address

9035 KINGMAN DR
WEST DES MOINES IA
50266-1528
US

V. Phone/Fax

Practice location:
  • Phone: 515-417-2416
  • Fax:
Mailing address:
  • Phone: 515-669-6060
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: BRIDGET BENCKE-HIVELEY
Title or Position: OWNER
Credential: LMHC
Phone: 515-417-2416