Healthcare Provider Details

I. General information

NPI: 1275441404
Provider Name (Legal Business Name): JGILLEY THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/29/2026
Last Update Date: 08/29/2026
Certification Date: 08/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3408 WOODLAND AVE STE 302
WEST DES MOINES IA
50266-6506
US

IV. Provider business mailing address

3408 WOODLAND AVE STE 302
WEST DES MOINES IA
50266-6506
US

V. Phone/Fax

Practice location:
  • Phone: 515-517-1905
  • Fax:
Mailing address:
  • Phone: 515-517-1905
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: JAMIE GILLEY-SCHMITZ
Title or Position: MENTAL HEALTH THERAPIST
Credential: LISW
Phone: 515-517-1905