ALEXANDER KENNISON LMFT
NPI 1104204551
Marriage & Family Therapist in West Des Moines, IA

Q: What is Alexander Kennison's NPI number?

The NPI number for Alexander Kennison is 1104204551. It was assigned to this individual provider in the NPPES registry on May 18, 2015.

Q: What is Alexander Kennison's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: Is Alexander Kennison enrolled in Medicare?

No. Alexander Kennison has opted out of Medicare through November 18, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Active since May 18, 2015Opted out of Medicare · through Nov 18, 2026

5550 WILD ROSE LN STE 400, WEST DES MOINES, IA 50266(515) 346-3069(515) 346-3069 Get Directions Write a Review

NPPES record last updated: December 20, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 20, 2022, Nov 2, 2017, May 10, 2017 (3 updates tracked since 2017).

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About Alexander Kennison Lmft NPPES

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

ALEXANDER KENNISON LMFT (NPI 1104204551) is an individual marriage & family therapist in West Des Moines, Iowa and active in the NPI registry since May 2015. He has opted out of Medicare through November 18, 2026.

NPPES Registry Identity

NPI1104204551

Entity TypeIndividualMale

Primary Taxonomy106H00000X

Provider Legal NameALEXANDER KENNISONCredential: LMFT

Location Address5550 WILD ROSE LN STE 400West Des Moines, IA 50266-5351

Mailing Address2135 Nw 108th St Unit 71591Clive, IA 50325-3826 · (515) 346-3069 · Fax (515) 346-3069

Phone(515) 346-3069

Fax(515) 346-3069

Sole ProprietorNo

Enumeration DateMay 18, 2015

Last NPPES UpdateDecember 20, 20223 updates tracked since enumeration

NPPES CertifiedDecember 20, 2022

✔ NPI 1104204551 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

5550 WILD ROSE LN STE 400, West Des Moines, IA 50266

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Alexander Kennison Lmft has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 18, 2024 through November 18, 2026.

Opt-Out Effective DateNovember 18, 2024

Opt-Out In Effect ThroughNovember 18, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RACHEL KOKICHIBURNLEY LMFT

Marriage & Family Therapist