Healthcare Provider Details

I. General information

NPI: 1427868520
Provider Name (Legal Business Name): AUSTIN YOAKUM LMHC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/10/2025
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 NW 36TH ST
ANKENY IA
50023-8411
US

IV. Provider business mailing address

PO BOX 674721
DALLAS TX
75267-4721
US

V. Phone/Fax

Practice location:
  • Phone: 515-643-8350
  • Fax: 515-643-5824
Mailing address:
  • Phone: 515-643-2519
  • Fax: 515-643-5824

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number127401
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: