| Des Moines Pastoral Counseling Center | |
|
8553 Urbandale Ave Des Moines Pastoral Counseling Center Urbandale IA 50322-4108 | |
| (515) 274-4006 | |
| (515) 255-5697 |
| Full Name | Des Moines Pastoral Counseling Center |
|---|---|
| Speciality | Counselor |
| Location | 8553 Urbandale Ave, Urbandale, Iowa |
| Authorized Official Name and Position | Ellery H Duke (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5152744006 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Des Moines Pastoral Counseling Center 8553 Urbandale Ave Des Moines Pastoral Counseling Center Urbandale IA 50322-4108 Ph: (515) 274-4006 | Des Moines Pastoral Counseling Center 8553 Urbandale Ave Des Moines Pastoral Counseling Center Urbandale IA 50322-4108 Ph: (515) 274-4006 |
| NPI Number | 1578574786 |
|---|---|
| Provider Enumeration Date | 08/11/2006 |
| Last Update Date | 04/28/2016 |
| Medicare PECOS PAC ID | 0749272649 |
|---|---|
| Medicare Enrollment ID | O20040331001405 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578574786 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Mark D Minear |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1528146719 PECOS PAC ID: 1153220116 Enrollment ID: I20040108000269 |
| Provider Name | Karla Marie Minear |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720573272 PECOS PAC ID: 2668469024 Enrollment ID: I20040428000070 |
| Provider Name | Mary T Hughes Paulline |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689649063 PECOS PAC ID: 0143281261 Enrollment ID: I20041022000066 |
| Provider Name | Kelli D Hill |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1376575415 PECOS PAC ID: 5991736811 Enrollment ID: I20050830000562 |
| Provider Name | Richard H Douglass |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457325425 PECOS PAC ID: 5092735811 Enrollment ID: I20051122000858 |
| Provider Name | Ellery H Duke |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1326070459 PECOS PAC ID: 8325030224 Enrollment ID: I20051123000631 |
| Provider Name | David E Drake |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245299395 PECOS PAC ID: 8527078807 Enrollment ID: I20060502000061 |
| Provider Name | Deanna B Boesen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104034552 PECOS PAC ID: 5991872160 Enrollment ID: I20080930000585 |
| Provider Name | Shannon T Welch Groves |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1508056920 PECOS PAC ID: 3072772110 Enrollment ID: I20120309000320 |
| Provider Name | Scott P Young |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1033425731 PECOS PAC ID: 3577719228 Enrollment ID: I20120810000822 |
| Provider Name | Christine A Dietz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275645640 PECOS PAC ID: 8022065416 Enrollment ID: I20131025001091 |
| Provider Name | Geoffrey L Hills |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447296017 PECOS PAC ID: 1153517057 Enrollment ID: I20140904000490 |
| Provider Name | Heidi Bowden |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790183341 PECOS PAC ID: 0143546192 Enrollment ID: I20150310001067 |
| Provider Name | Douglas J Detrick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790061430 PECOS PAC ID: 1153631650 Enrollment ID: I20151113000079 |
| Provider Name | Elaina C Riley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417989542 PECOS PAC ID: 5092018176 Enrollment ID: I20160122002124 |
| Provider Name | Mark R Poeppe |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962980771 PECOS PAC ID: 0749539906 Enrollment ID: I20180821002398 |
| Provider Name | Christopher J Ogle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487184016 PECOS PAC ID: 5991138257 Enrollment ID: I20191127002615 |
| Provider Name | Wenjing Cao |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477822344 PECOS PAC ID: 6901066125 Enrollment ID: I20200729003640 |
| Provider Name | Mary Schenkenfelder |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1174119234 PECOS PAC ID: 0143624106 Enrollment ID: I20210812002576 |
| Provider Name | Wade C Leuwerke |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1447902747 PECOS PAC ID: 7618363185 Enrollment ID: I20220408002308 |
| Provider Name | Erin M Storm |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245825173 PECOS PAC ID: 8123415973 Enrollment ID: I20220425001993 |
| Provider Name | Staci Lynn Fosenburg |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1477073179 PECOS PAC ID: 2961889852 Enrollment ID: I20220603001031 |
| Provider Name | Gregory J Lengel |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1326396847 PECOS PAC ID: 6103207014 Enrollment ID: I20220722001252 |
| Provider Name | Andrea Severson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437501483 PECOS PAC ID: 4183060395 Enrollment ID: I20240311002046 |
| Provider Name | Juan P Padilla |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265924195 PECOS PAC ID: 4587000419 Enrollment ID: I20240313002712 |
| Provider Name | Laura Meade |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740962216 PECOS PAC ID: 6901242841 Enrollment ID: I20240313002870 |
| Provider Name | Amanda Wentworth-puentes |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669715215 PECOS PAC ID: 5395181234 Enrollment ID: I20240313003103 |
| Provider Name | Danielle Foreman |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1447848197 PECOS PAC ID: 8729427067 Enrollment ID: I20240418002874 |
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