PAX PSYCHOTHERAPY PLLC NPI 1215784665

NPI Information

  • NPI: 1215784665
  • Provider Name: PAX PSYCHOTHERAPY, PLLC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Address: 2963 100TH ST STE 3
    URBANDALE, IA
    ZIP 50322
  • Phone: (515) 380-4266

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NPI Details

PAX PSYCHOTHERAPY, PLLC is a mental health counselor in Urbandale, IA. PAX PSYCHOTHERAPY, PLLC NPI is 1215784665. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2963 100TH ST STE 3
URBANDALE, IA
ZIP 50322-513
Phone: (515) 380-4266

The provider's authorized official is Reina Elizabeth Noriega .
The authorized official title is Credentialing Coordinator and has the following contact phone number (515) 505-5498.

The enumeration date for this NPI number is 5/3/2024 and was last updated on 5/3/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthYes
2103T00000XPsychologistNo
3103TC1900XPsychologistCounselingNo
4103TC2200XPsychologistClinical Child & AdolescentNo
51041C0700XSocial WorkerClinicalNo
6106H00000XMarriage & Family TherapistNo
72084P0800XPsychiatry & NeurologyPsychiatryNo
82084P0804XPsychiatry & NeurologyChild & Adolescent PsychiatryNo
9363LP0808XNurse PractitionerPsychiatric/Mental HealthNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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