Individual provider Active NPI

Emma Louise Dahms

  • Mental Health Counselor
  • Palmer, AK
National Provider Identifier
1124629985
Registry record updated Nov 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
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.

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

OrganizationSpecialtyStatusNew patients
Daybreak Incorporated CurrentSince Nov 8, 2020 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)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

NPPES NPI Registry

Primary 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
IdentifierTypeStateIssuer
1811042872MedicaidAK

Other names 1

NPPES NPI Registry
  • Emma Louise Lark Former name

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.

Verify at the official NPI Registry.