Healthcare Provider Details

I. General information

NPI: 1639146269
Provider Name (Legal Business Name): MARLA HUMMEL MS CEAP LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MARLA MCDONALD MS CEAP LMHC

II. Dates (important events)

Enumeration Date: 03/02/2006
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

699 WALNUT ST STE 400
DES MOINES IA
50309-3962
US

IV. Provider business mailing address

699 WALNUT ST STE 400
DES MOINES IA
50309-3962
US

V. Phone/Fax

Practice location:
  • Phone: 515-314-8973
  • Fax: 833-419-0181
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number00096
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: