Healthcare Provider Details

I. General information

NPI: 1407774177
Provider Name (Legal Business Name): NIXON PSYCHOTHERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/09/2026
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

939 OFFICE PARK RD STE 316
WEST DES MOINES IA
50265-2505
US

IV. Provider business mailing address

939 OFFICE PARK RD STE 316
WEST DES MOINES IA
50265-2505
US

V. Phone/Fax

Practice location:
  • Phone: 515-679-5850
  • Fax: 515-434-6442
Mailing address:
  • Phone: 515-679-5850
  • Fax: 515-434-6442

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: JOSEPH MATTHEW NIXON
Title or Position: OWNER
Credential: L.I.S.W.
Phone: 515-679-5850