Emily Dicks, LMHC

Individual provider Active NPI Mental Health Counselor · Spencer, IA

NPI 1194528240 · NPPES record last updated Mar 31, 2025

Key facts

NPI
1194528240
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
100725 (IA)
Practice address
20 W 4TH St
Spencer, IA 51301-4013
Phone
(712) 260-9318
NPI assigned
Mar 31, 2025
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 fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20250513002154 IA Practitioner - Mental Health Counselor 1254859390 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
100725IAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lutheran Services in Iowa, Inc. Current
since Mar 17, 2025
Accepting new patients

Locations

3125 Cottage Grove Ave
Des Moines, IA 50311
Phone (515) 274-4946

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 100725 IA Yes

Addresses

Primary practice location

20 W 4TH St
Spencer, IA 51301-4013

Mailing address

20 W 4TH St
Spencer, IA 51301-4013
Phone (712) 260-9318

Other practice location 1

1614 W 5th St
Storm Lake, IA 50588-3030
Phone (712) 260-9318

Other providers in Spencer, IA

All providers in Spencer, IA · Mental Health Counselor in Iowa

Sources for this page

Verify at the official NPI Registry.