MEDICARE: CORINN BETH UITERMARKT LMHC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	106709	IA

General Provider Information

NPI Number	:	1205538469
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CORINN BETH UITERMARKT LMHC

Provider Business Mailing Address
First Line	:	4150 WESTOWN PKWY STE 303
Second Line	:
City	:	WEST DES MOINES
State	:	IA
Zip	:	50266-5901
Country	:	US
Telephone Number	:	515-582-8165
Fax Number	:

Provider Business Practice Location Address
First Line	:	4150 WESTOWN PKWY STE 303
Second Line	:
City	:	WEST DES MOINES
State	:	IA
Zip	:	50266-5901
Country	:	US
Telephone Number	:	515-582-8165
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/21/2023
Last Update Date	:	06/03/2026

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