Basic Information
Provider Information
NPI: 1427612852
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MAHLER
FirstName: APRIL
MiddleName: DAWN
NamePrefix:  
NameSuffix:  
Credential: LMHCT
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3123 SW SUNNYBROOKE CT
Address2:  
City: ANKENY
State: IA
PostalCode: 500236220
CountryCode: US
TelephoneNumber: 5153391185
FaxNumber:  
Practice Location
Address1: 1111 UNIVERSITY AVE
Address2:  
City: DES MOINES
State: IA
PostalCode: 503142329
CountryCode: US
TelephoneNumber: 5156977935
FaxNumber: 5152889109
Other Information
ProviderEnumerationDate: 05/01/2019
LastUpdateDate: 05/01/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
101YM0800X094589IAY Behavioral Health & Social Service ProvidersCounselorMental Health

No ID Information.


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