SAMUEL BARKER PATTISON LMHCP
NPI 1790459170
Counselor - Mental Health in West Des Moines, IA

Active since August 09, 2021Opted out of Medicare · through Dec 12, 2027
2700 UNIVERSITY AVE STE 308, WEST DES MOINES, IA 50266(402) 807-3666 Get Directions Write a Review

NPPES record last updated: February 18, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 18, 2025, Aug 9, 2021 (2 updates tracked since 2021).

About Samuel Barker Pattison Lmhcp NPPES

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

SAMUEL BARKER PATTISON LMHCP (NPI 1790459170) is an individual mental health provider in West Des Moines, Iowa, licensed in Iowa (107654) and active in the NPI registry since August 2021. He has opted out of Medicare through December 12, 2027.

NPPES Registry Identity

NPI1790459170
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameSAMUEL BARKER PATTISONCredential: LMHCP
Location Address2700 UNIVERSITY AVE STE 308West Des Moines, IA 50266-1470
Mailing Address2700 University Ave Ste 308West Des Moines, IA 50266-1470 · (402) 807-3666
Sole ProprietorNo
Enumeration DateAugust 9, 2021
Last NPPES UpdateFebruary 18, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 17, 2025
NPI 1790459170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in IA · 107654
2700 UNIVERSITY AVE STE 308, West Des Moines, IA 50266

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Samuel Barker Pattison Lmhcp 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 December 12, 2025 through December 12, 2027.

Opt-Out Effective DateDecember 12, 2025
Opt-Out In Effect ThroughDecember 12, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 2

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

Counselor (Mental Health)
2700 UNIVERSITY AVE STE 308
WEST DES MOINES, IA 50266
Nurse Practitioner (Psychiatric/Mental Health)
2700 UNIVERSITY AVE STE 308
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 Samuel Pattison's NPI number?

The NPI number for Samuel Pattison is 1790459170. It was assigned to this individual provider in the NPPES registry on August 9, 2021.

Where is Samuel Pattison located?

Samuel Pattison practices at 2700 University Ave Ste 308, West Des Moines, IA 50266. The listed phone number is (402) 807-3666.

What is Samuel Pattison's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Samuel Pattison enrolled in Medicare?

No. Samuel Pattison has opted out of Medicare through December 12, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Samuel Pattison accept?

Health plans from Medica list Samuel Pattison as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Samuel Pattison was last updated on February 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.