Healthcare Provider Details

I. General information

NPI: 1235061839
Provider Name (Legal Business Name): HIVE MIND 515 THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/30/2026
Last Update Date: 05/30/2026
Certification Date: 05/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3737 WOODLAND AVE STE 620
WEST DES MOINES IA
50266-1909
US

IV. Provider business mailing address

3737 WOODLAND AVE STE 620
WEST DES MOINES IA
50266-1909
US

V. Phone/Fax

Practice location:
  • Phone: 515-207-6136
  • Fax: 515-420-1639
Mailing address:
  • Phone: 515-207-6136
  • Fax: 515-420-1639

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
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: JENNIFER ANNE BARRY-BURTON
Title or Position: CLINICAL SOCIAL WORKER
Credential: LISW
Phone: 515-206-6136