Healthcare Provider Details

I. General information

NPI: 1295645547
Provider Name (Legal Business Name): ZACHARY CHRISTENSEN LMHCT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/09/2026
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3839 MERLE HAY RD STE 277
DES MOINES IA
50310-1307
US

IV. Provider business mailing address

3839 MERLE HAY RD STE 277
DES MOINES IA
50310-1307
US

V. Phone/Fax

Practice location:
  • Phone: 515-669-8111
  • Fax: 515-462-0633
Mailing address:
  • Phone: 515-669-8111
  • Fax: 515-462-0633

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number140287
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: