| Mosaic Family Counseling Center, Inc. | |
|
6200 Aurora Ave Ste 305e Urbandale IA 50322-2863 | |
| (515) 724-8920 | |
| (712) 545-2900 |
| Full Name | Mosaic Family Counseling Center, Inc. |
|---|---|
| Speciality | Counselor |
| Location | 6200 Aurora Ave Ste 305e, Urbandale, Iowa |
| Authorized Official Name and Position | Kenya Rocha (CEO) |
| Authorized Official Contact | 5157713672 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mosaic Family Counseling Center, Inc. 3705 Grand Ave Suite 100 Des Moines IA 50312-2805 Ph: (515) 724-8920 | Mosaic Family Counseling Center, Inc. 6200 Aurora Ave Ste 305e Urbandale IA 50322-2863 Ph: (515) 724-8920 |
| NPI Number | 1417103649 |
|---|---|
| Provider Enumeration Date | 08/07/2008 |
| Last Update Date | 01/13/2025 |
| Certification Date | 01/13/2025 |
| Medicare PECOS PAC ID | 3577860501 |
|---|---|
| Medicare Enrollment ID | O20160318000482 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417103649 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Shawn M Wellendorf |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922189208 PECOS PAC ID: 9537433156 Enrollment ID: I20170920004045 |
| Provider Name | Kristen J Gruntorad Peterson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649613027 PECOS PAC ID: 4385990050 Enrollment ID: I20180711000364 |
| Provider Name | Sarita Roby |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427563972 PECOS PAC ID: 7911333547 Enrollment ID: I20200130001014 |
| Provider Name | Lindsay Renee Owens |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1770900169 PECOS PAC ID: 4385096163 Enrollment ID: I20240117002259 |
| Provider Name | Katrina Lynn Hart |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1801020102 PECOS PAC ID: 7012369820 Enrollment ID: I20240117002892 |
| Provider Name | Angela Lynn Fisher |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1043890692 PECOS PAC ID: 0648622803 Enrollment ID: I20240123004620 |
| Provider Name | Erin Marie Carter |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1548686454 PECOS PAC ID: 5799137964 Enrollment ID: I20240124000154 |
| Provider Name | Zachary Scott Pachol |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699355412 PECOS PAC ID: 6507218781 Enrollment ID: I20240124000229 |
| Provider Name | Kenya J Rocha |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639358807 PECOS PAC ID: 1153628003 Enrollment ID: I20240209001289 |
| Provider Name | Julie Hewitt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447734728 PECOS PAC ID: 7416391792 Enrollment ID: I20240214002083 |
| Provider Name | Hayley Benson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043942022 PECOS PAC ID: 1456884873 Enrollment ID: I20241023004634 |
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