Healthcare Provider Details

I. General information

NPI: 1679417141
Provider Name (Legal Business Name): FORWARD PATH WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/16/2026
Last Update Date: 04/16/2026
Certification Date: 04/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5008 COLT DR
WEST DES MOINES IA
50265-2737
US

IV. Provider business mailing address

5008 COLT DR
WEST DES MOINES IA
50265-2737
US

V. Phone/Fax

Practice location:
  • Phone: 515-771-9564
  • Fax:
Mailing address:
  • Phone: 515-771-9564
  • 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 Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: DR. ELIZABETH KATHLEEN AUGSPURGER
Title or Position: LMHC
Credential: PHD, BCBA-D LMHC LPC
Phone: 515-771-9564