1. Home
  2. Directory
  3. Iowa
  4. West Des Moines
  5. Clinic Center
  6. NPI Profile

MAGNOLIA ROOTS COLLECTIVE AND COUNSELING PLLC
NPI 1083502249
Clinic/Center - Mental Health (Including Community Mental Health Center) in West Des Moines, IA

Active since June 26, 2025
405 47TH ST, WEST DES MOINES, IA 50265(704) 253-0450 Get Directions Write a Review

NPPES record last updated: June 26, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Magnolia Roots Collective And Counseling Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAGNOLIA ROOTS COLLECTIVE AND COUNSELING PLLC (NPI 1083502249) is a healthcare organization registered as a mental health (including community mental health center) in West Des Moines, Iowa and active in the NPI registry since June 2025. The organization lists Candace Shultz, Owner, as its authorized official.

NPPES Registry Identity

NPI1083502249
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameMAGNOLIA ROOTS COLLECTIVE AND COUNSELING PLLC
Location Address405 47TH STWest Des Moines, IA 50265-7100
Mailing Address405 47th StWest Des Moines, IA 50265-7100 · (704) 253-0450
Phone(704) 253-0450
Organization SubpartNo
Authorized OfficialCandace ShultzOwner · (704) 253-0450
Enumeration DateJune 26, 2025
NPPES CertifiedJune 26, 2025
✔ NPI 1083502249 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
405 47TH ST, West Des Moines, IA 50265
Open in Google Maps ↗

Other Identifiers 1

Medicaid1861189508AK

Frequently Asked Questions

What is MAGNOLIA ROOTS COLLECTIVE AND COUNSELING PLLC's NPI number?

The NPI number assigned to this healthcare provider is 1083502249, enumerated as an "organization" on June 26, 2025.

Where is the provider located?

The provider is located at 405 47TH ST WEST DES MOINES, IA 50265 and the phone number is (704) 253-0450.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).

What insurance does MAGNOLIA ROOTS COLLECTIVE AND COUNSELING PLLC accept?

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.