Emily Genaway Duvick, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

087688 Issued in IA

Practice address

4949 Pleasant St Ste 202
West Des Moines, IA 50266-5495

Phone

(515) 291-5731

NPI assigned

Dec 12, 2017

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sculpting the Psyche LLC.

  • Mental Health Counselor
  • West Des Moines, IA
  • NPI 1194508572

  IA, Mental Health

  Medicare reassignment NPD Authorized official
• Woodward Youth Corporation

  • Community/Behavioral Health Agency
  • Des Moines, IA
  • NPI 1740695170
  NPD (past)
• Woodward Youth Corporation

  • Community/Behavioral Health Agency
  • Urbandale, IA
  • NPI 1760855266
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1513036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689120000000",
    "number": "1104331230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4949 PLEASANT ST STE 202",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502665495",
            "telephone_number": "515-291-5731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4949 PLEASANT ST STE 202",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502665495",
            "telephone_number": "515-291-5731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUVICK",
        "first_name": "EMILY",
        "middle_name": "GENAWAY",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-12",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "087688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sydney Dunphy
• Jessica Durr, LPN
• Angela R Duster, PHARMD
• Dustin Daugherty, Lisw, LLC
• Charlotte E. Dutcher, AUD
• Amber Dvorak, ARNP
• David Scott Dwyer, M.D.
• Emory Dye, M.D.
• Joelle Eager, RPH
• Amanda Renee Earle

• All providers in West Des Moines, IA
• Mental Health Counselor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.