MEDICARE: A CHRISTIAN LENS COUNSELING, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1306792130
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A CHRISTIAN LENS COUNSELING, LLC

Provider Business Mailing Address
First Line	:	4090 WESTOWN PKWY STE E
Second Line	:
City	:	WEST DES MOINES
State	:	IA
Zip	:	50266-6760
Country	:	US
Telephone Number	:	515-300-0054
Fax Number	:

Provider Business Practice Location Address
First Line	:	4090 WESTOWN PKWY STE E
Second Line	:
City	:	WEST DES MOINES
State	:	IA
Zip	:	50266-6760
Country	:	US
Telephone Number	:	515-300-0054
Fax Number	:

Authorized Official
Title or Position	:	MANAGING MEMBER/THERAPIST
Name	:	KIMBERLY JEAN INGRAM
Credential	:	LMHC
Telephone Number	:	515-300-0054

Provider Enumeration Date	:	03/05/2026
Last Update Date	:	03/05/2026

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