Pax Psychotherapy, PLLC
NPI 1215784665 · Mental Health Counselor · Urbandale, IA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pax Psychotherapy, PLLC is a Mental Health Counselor organization in Urbandale, IA (NPI 1215784665).
Provider details
- NPI number
- 1215784665
- Entity type
- Organization
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Reina Noriega, Credentialing Coordinator(515) 505-5498
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Psychologist103T00000X
Behavioral Health & Social Service Providers
- Counseling Psychologist103TC1900X
Behavioral Health & Social Service Providers
- Clinical Child & Adolescent Psychologist103TC2200X
Behavioral Health & Social Service Providers
- Clinical Social Worker1041C0700X
Behavioral Health & Social Service Providers
- Marriage & Family Therapist106H00000X
Behavioral Health & Social Service Providers
- Psychiatry Physician2084P0800X
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-05-03
- Last updated
- 2024-05-03
- Certified
- 2024-05-03
Frequently asked questions
- What is Pax Psychotherapy, PLLC's NPI number?
- Pax Psychotherapy, PLLC's National Provider Identifier (NPI) is 1215784665, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pax Psychotherapy, PLLC?
- Pax Psychotherapy, PLLC is classified in the NPPES registry as Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Pax Psychotherapy, PLLC located?
- Pax Psychotherapy, PLLC's practice location on file with NPPES is 2963 100th St Ste 3, Urbandale, IA 50322-5513.
- What is Pax Psychotherapy, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Pax Psychotherapy, PLLC is (515) 380-4266.
- Does Pax Psychotherapy, PLLC accept Medicare?
- Pax Psychotherapy, PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Pax Psychotherapy, PLLC?
- The authorized official listed on Pax Psychotherapy, PLLC's NPPES record is Reina Noriega, Credentialing Coordinator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pax Psychotherapy, PLLC's NPI active?
- Yes — Pax Psychotherapy, PLLC's NPI (1215784665) is active in the NPPES registry as of the last update on 2024-05-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.