Provider Demographics
NPI:1255920468
Name:NEVIUS, KEIFER PAUL (LMHC)
Entity type:Individual
Prefix:
First Name:KEIFER
Middle Name:PAUL
Last Name:NEVIUS
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4150 WESTOWN PKWY STE 305
Mailing Address - Street 2:
Mailing Address - City:WEST DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50266-5901
Mailing Address - Country:US
Mailing Address - Phone:515-681-5959
Mailing Address - Fax:
Practice Address - Street 1:4150 WESTOWN PKWY STE 305
Practice Address - Street 2:
Practice Address - City:WEST DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50266-5901
Practice Address - Country:US
Practice Address - Phone:515-681-5959
Practice Address - Fax:515-305-2144
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-12
Last Update Date:2024-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA105955101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health