Healthcare Provider Details

I. General information

NPI: 1205538469
Provider Name (Legal Business Name): CORINN BETH UITERMARKT LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CORINN HUSER LMHC

II. Dates (important events)

Enumeration Date: 03/21/2023
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4150 WESTOWN PKWY STE 303
WEST DES MOINES IA
50266-5901
US

IV. Provider business mailing address

4150 WESTOWN PKWY STE 303
WEST DES MOINES IA
50266-5901
US

V. Phone/Fax

Practice location:
  • Phone: 515-582-8165
  • Fax:
Mailing address:
  • Phone: 515-582-8165
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number106709
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: