Provider Demographics
NPI:1164721551
Name:ZEPEDA, DANAH J (LMHC, CADC)
Entity Type:Individual
Prefix:MRS
First Name:DANAH
Middle Name:J
Last Name:ZEPEDA
Suffix:
Gender:F
Credentials:LMHC, CADC
Other - Prefix:MS
Other - First Name:DANAH
Other - Middle Name:
Other - Last Name:HOFFMEIER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMHC, CADC
Mailing Address - Street 1:1111 UNIVERSITY AVE
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50314-2329
Mailing Address - Country:US
Mailing Address - Phone:515-289-2272
Mailing Address - Fax:515-289-0126
Practice Address - Street 1:1111 UNIVERSITY AVE
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50314-2329
Practice Address - Country:US
Practice Address - Phone:515-282-2193
Practice Address - Fax:515-282-2194
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-24
Last Update Date:2016-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA001376101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health