PAX PSYCHOTHERAPY, PLLC
NPI 1215784665
Counselor - Mental Health in Urbandale, IA
About Pax Psychotherapy, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PAX PSYCHOTHERAPY, PLLC (NPI 1215784665) is a healthcare organization registered as a mental health in Urbandale, Iowa and active in the NPI registry since May 2024. The organization lists Reina Elizabeth Noriega, Credentialing Coordinator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 9
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Pax Psychotherapy, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Pax Psychotherapy, PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Pax Psychotherapy, PLLC's NPI number?
The NPI number for Pax Psychotherapy, PLLC is 1215784665. It was assigned to this organization in the NPPES registry on May 3, 2024.
Where is Pax Psychotherapy, PLLC located?
Pax Psychotherapy, PLLC is located at 2963 100th St Ste 3, Urbandale, IA 50322. The listed phone number is (515) 380-4266.
What is Pax Psychotherapy, PLLC's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Pax Psychotherapy, PLLC enrolled in Medicare?
Yes. Pax Psychotherapy, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Pax Psychotherapy, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Pax Psychotherapy, PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Pax Psychotherapy, PLLC was last updated on May 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.
# Pax Psychotherapy, Pllc · NPI 1215784665
Mental Health organization in Urbandale, Iowa. Organization record, active in the CMS NPPES registry since May 3, 2024.
## Identity
- **NPI:** 1215784665 (Entity type: Organization)
- **Enumerated:** May 3, 2024
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Organization subpart:** No
- **Authorized official:** Reina Noriega, CREDENTIALING COORDINATOR
## Practice location
- **Address:** 2963 100TH ST STE 3, Urbandale, IA 50322-5513
- **Phone:** (515) 380-4266
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Mental Health Counselor) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 3, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1215784665) · Data from the CMS NPPES public registry.