RACHAEL EVONNE BOLANOS JACKSON TLMHC
NPI 1780384867
Counselor - Mental Health in West Des Moines, IA
About Rachael Evonne Bolanos Jackson Tlmhc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RACHAEL EVONNE BOLANOS JACKSON TLMHC (NPI 1780384867) is an individual mental health provider in West Des Moines, Iowa, licensed in Iowa (117723) and active in the NPI registry since March 2023.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WEST DES MOINES, IA 50266
WEST DES MOINES, IA 50266
WEST DES MOINES, IA 50266
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 Rachael Bolanos Jackson's NPI number?
The NPI number for Rachael Bolanos Jackson is 1780384867. It was assigned to this individual provider in the NPPES registry on March 7, 2023.
Where is Rachael Bolanos Jackson located?
Rachael Bolanos Jackson practices at 4949 Pleasant St Ste 202, West Des Moines, IA 50266. The listed phone number is (515) 782-3208.
What is Rachael Bolanos Jackson's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
When was this NPI record last updated?
The NPPES record for Rachael Bolanos Jackson was last updated on March 7, 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.
# Rachael Evonne Bolanos Jackson, TLMHC · NPI 1780384867
Mental Health provider in West Des Moines, Iowa. Individual provider, active in the CMS NPPES registry since March 7, 2023.
## Identity
- **NPI:** 1780384867 (Entity type: Individual)
- **Enumerated:** March 7, 2023
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 117723 (Iowa)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4949 PLEASANT ST STE 202, West Des Moines, IA 50266-5495
- **Phone:** (515) 782-3208
## Record status
- **NPPES last updated:** March 7, 2023
- **Other identifiers:** Medicaid 117723 (IA)
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Source: [NPI Profile](https://npiprofile.com/npi/1780384867) · Data from the CMS NPPES public registry.