| Ankeny Family Counseling | |
|
1850 Sw Plaza Shops Ln Ste D Ankeny IA 50023-7168 | |
| (515) 508-1150 | |
| (866) 473-0770 |
| Full Name | Ankeny Family Counseling |
|---|---|
| Speciality | Counselor |
| Location | 1850 Sw Plaza Shops Ln Ste D, Ankeny, Iowa |
| Authorized Official Name and Position | Vicki Jo Ailey-roberson (OWNER) |
| Authorized Official Contact | 5155081150 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ankeny Family Counseling 1850 Sw Plaza Shops Ln Ste D Ankeny IA 50023-7168 Ph: (515) 508-1150 | Ankeny Family Counseling 1850 Sw Plaza Shops Ln Ste D Ankeny IA 50023-7168 Ph: (515) 508-1150 |
| NPI Number | 1053804617 |
|---|---|
| Provider Enumeration Date | 06/08/2018 |
| Last Update Date | 10/19/2021 |
| Certification Date | 10/19/2021 |
| Medicare PECOS PAC ID | 6103364666 |
|---|---|
| Medicare Enrollment ID | O20240814004637 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053804617 | NPI | - | NPPES |
| 1790912517 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 00918 (Iowa) | Primary |
| Provider Name | Lorra R Gire |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174887715 PECOS PAC ID: 5092039644 Enrollment ID: I20150130001176 |
| Provider Name | Clinton Cunningham |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1215410741 PECOS PAC ID: 4183061583 Enrollment ID: I20240321000120 |
| Provider Name | Vicki J Ailey-roberson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790912517 PECOS PAC ID: 7911445473 Enrollment ID: I20240814004706 |
| Provider Name | Lindy Sue Reinhart |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235785007 PECOS PAC ID: 9436699535 Enrollment ID: I20240904000857 |
| Provider Name | Jacob Weber |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700553054 PECOS PAC ID: 3577003425 Enrollment ID: I20240906001828 |
| Provider Name | Virginia Griesheimer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346068608 PECOS PAC ID: 6608309828 Enrollment ID: I20241101001415 |
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