Provider Demographics
NPI:1871781708
Name:GILBERT, DONALD K (PHD, LMHC)
Entity type:Individual
Prefix:DR
First Name:DONALD
Middle Name:K
Last Name:GILBERT
Suffix:
Gender:M
Credentials:PHD, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7554 NE 114TH AVE
Mailing Address - Street 2:
Mailing Address - City:BONDURANT
Mailing Address - State:IA
Mailing Address - Zip Code:50035-1353
Mailing Address - Country:US
Mailing Address - Phone:515-957-9764
Mailing Address - Fax:
Practice Address - Street 1:423 S ANKENY BLVD
Practice Address - Street 2:SUITE 101
Practice Address - City:ANKENY
Practice Address - State:IA
Practice Address - Zip Code:50023-3141
Practice Address - Country:US
Practice Address - Phone:515-964-5003
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-04
Last Update Date:2009-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA00178101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA00171OtherWELLMARK
IA2174645OtherCOMPSYCH
IA255211OtherMIDLANDS CHOICE