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CLEAR BROOK COUNSELING PROFESSIONALS, LLC
NPI 1619350782
Social Worker - Clinical in Ames, IA

Active since July 07, 2015
1525 AIRPORT RD STE 101, AMES, IA 50010(515) 292-3041 Get Directions Write a Review

NPPES record last updated: April 14, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 14, 2023, Apr 5, 2023 (2 updates tracked since 2023).

About Clear Brook Counseling Professionals, Llc NPPES

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

CLEAR BROOK COUNSELING PROFESSIONALS, LLC (NPI 1619350782) is a healthcare organization registered as a clinical in Ames, Iowa and active in the NPI registry since July 2015. The organization lists Jamie L Pfantz, Manager, as its authorized official.

NPPES Registry Identity

NPI1619350782
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameCLEAR BROOK COUNSELING PROFESSIONALS, LLC
Location Address1525 AIRPORT RD STE 101Ames, IA 50010-8231
Mailing Address614 Billy Sunday Rd Ste 100Ames, IA 50010-8048
Phone(515) 292-3041
Organization SubpartNo
Authorized OfficialJamie L PfantzManager · (515) 292-3041
Enumeration DateJuly 7, 2015
Last NPPES UpdateApril 14, 20232 updates tracked since enumeration
NPPES CertifiedApril 14, 2023
✔ NPI 1619350782 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in IA · 07985✔ Licensed in IA · 07617
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 00800 (IA), 00299 (IA), 03167 (IA)
Also ListedMarriage & Family TherapistTaxonomy 106H00000X · License 00405 (IA)
1525 AIRPORT RD STE 101, Ames, IA 50010
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Clear Brook Counseling Professionals, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Clear Brook Counseling Professionals, LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Thomas Patterson, LMSW
Clinical Social Worker
NPI 1972804870
1619 S HIGH AVE
Ames, IA 50010
(515) 232-5811
✔ PECOS1.3 mi
Nicole Roetman, ARNP
Nurse Practitioner
NPI 1679560296
1801 HICKMAN RD
Des Moines, IA 50314
(515) 282-2319
✔ PECOS✔ Accepts Medicare27 mi
John Mcdonald, LMSW
Clinical Social Worker
NPI 1578979530
1111 UNIVERSITY AVE
Des Moines, IA 50314
(515) 288-1981
✔ PECOS✔ Accepts Medicare28 mi

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 Clear Brook Counseling Professionals, LLC's NPI number?

The NPI number for Clear Brook Counseling Professionals, LLC is 1619350782. It was assigned to this organization in the NPPES registry on July 7, 2015.

Where is Clear Brook Counseling Professionals, LLC located?

Clear Brook Counseling Professionals, LLC is located at 1525 Airport Rd Ste 101, Ames, IA 50010. The listed phone number is (515) 292-3041.

What is Clear Brook Counseling Professionals, LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Clear Brook Counseling Professionals, LLC enrolled in Medicare?

Yes. Clear Brook Counseling Professionals, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Clear Brook Counseling Professionals, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Clear Brook Counseling Professionals, LLC, in Clinical Social Worker and Nurse Practitioner. 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. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Clear Brook Counseling Professionals, LLC was last updated on April 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.