LEANN WATERHOUSE (PHD) – Counseling Psychologist, NPI 1851738322

LEANN WATERHOUSE (PHD) is a healthcare provider. based in Des moines, Iowa. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PHD. They hold a License No. 001287 (IA). The NPI Number for LEANN WATERHOUSE (PHD) is 1851738322

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
LEANN WATERHOUSE (PHD)
NPI
1851738322
Phone
(515) 270-0280
Address
2130 GRAND AVE STE B
Enumeration Date
23 May 2013
Last Update Date
23 May 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5159840225
Graduation Year
2012 (14 years ago)
PAC ID
4486919917
Group Practice PAC ID
9931464468
Professional Enrollment ID
I20240501002582
Address ID
IA501314807JO9105XDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

192 CLINICAL PSYCHOLOGIST in IA

Provider Addresses for LEANN WATERHOUSE (PHD)

  • 2130 GRAND AVE STE B

    DES MOINES, IA 503125384

    Phone: (515) 270-0280

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-05-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240501002582IClinical PsychologistIATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 50312)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9931464468View full group profile
NameSpecialtyState
Mental Health CounselorIA
Mental Health CounselorIA
Clinical PsychologistIA

Reviews

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Frequently asked questions

Is LEANN WATERHOUSE (PHD) listed with a National Provider Identifier?
Yes — LEANN WATERHOUSE (PHD) has NPI 1851738322 on file in the registry.
Is there an active status for LEANN WATERHOUSE (PHD)?
For scheduling context, LEANN WATERHOUSE (PHD) is shown as active in the registry.
How would a patient describe LEANN WATERHOUSE (PHD)'s focus?
For LEANN WATERHOUSE (PHD), the primary taxonomy reads as Counseling Psychologist. Clinical services aligned with this taxonomy classification.
Is LEANN WATERHOUSE (PHD) located near Des Moines?
LEANN WATERHOUSE (PHD) currently maps to Des Moines, Iowa in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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