Healthcare Provider Details

I. General information

NPI: 1073752218
Provider Name (Legal Business Name): COUNSELING ASSOCIATES OF CENTRAL IOWA PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/11/2009
Last Update Date: 11/12/2024
Certification Date: 11/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3737 WOODLAND AVE STE 601
WEST DES MOINES IA
50266-1937
US

IV. Provider business mailing address

3737 WOODLAND AVE STE 601
WEST DES MOINES IA
50266-1937
US

V. Phone/Fax

Practice location:
  • Phone: 515-255-2224
  • Fax: 515-255-2228
Mailing address:
  • Phone: 515-255-2224
  • Fax: 515-255-2228

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number StateIA

VIII. Authorized Official

Name: CATHY COCKAYNE
Title or Position: OFFICE MANAGER
Credential:
Phone: 515-255-2224