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: August 09, 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
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

Other Identifiers 1

Medicaid1861189508AK

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Magnolia Roots Collective And Counseling PLLC's NPI number?

The NPI number for Magnolia Roots Collective And Counseling PLLC is 1083502249. It was assigned to this organization in the NPPES registry on June 26, 2025.

Where is Magnolia Roots Collective And Counseling PLLC located?

Magnolia Roots Collective And Counseling PLLC is located at 405 47th St, West Des Moines, IA 50265. The listed phone number is (704) 253-0450.

What is Magnolia Roots Collective And Counseling PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Magnolia Roots Collective And Counseling PLLC was last updated on June 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.