Active NPI
Emma Louise Dahms
- Mental Health Counselor
- Palmer, AK
National Provider Identifier
1124629985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 550 S Alaska St Ste 202
Palmer, AK 99645-6372 - Phone
- (907) 746-6019
- Fax
- (907) 745-7565
- NPI assigned
- Nov 6, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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.
-
- Case Management Agency
- Anchorage, AK
- NPI 1891331237
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Daybreak Incorporated | Current | Accepting new patients |
Locations
550 S Alaska St
Ste 202
Palmer, AK 99645
Phone (907) 746-6019
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
550 S Alaska St Ste 202
Palmer, AK 99645-6372
Mailing address
550 S Alaska St Ste 202
Palmer, AK 99645-6372
Phone (907) 746-6019
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811042872 | Medicaid | AK |
Other names 1
NPPES NPI Registry- Emma Louise Lark
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 6, 2020.
{
"created_epoch": "1604620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604620800000",
"number": "1124629985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 S ALASKA ST STE 202",
"city": "PALMER",
"state": "AK",
"postal_code": "996456372",
"telephone_number": "907-746-6019",
"fax_number": "907-745-7565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 S ALASKA ST STE 202",
"city": "PALMER",
"state": "AK",
"postal_code": "996456372",
"telephone_number": "907-746-6019",
"fax_number": "907-745-7565"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAHMS",
"first_name": "EMMA",
"middle_name": "LOUISE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-06",
"last_updated": "2020-11-06",
"certification_date": "2020-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1811042872",
"state": "AK"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "EMMA",
"last_name": "LARK",
"middle_name": "LOUISE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Palmer, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.