Active NPI
Emily Ann Mikusch, LPC
- Mental Health Counselor
- Ballwin, MO
National Provider Identifier
1356213482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 202521104
- Practice address
- 13975 Manchester Rd Ste 3
Ballwin, MO 63011-4500 - Phone
- (314) 329-4326
- NPI assigned
- Sep 18, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 202521104 | MO | Primary |
Addresses
Primary practice location
13975 Manchester Rd Ste 3
Ballwin, MO 63011-4500
Mailing address
166 Samarra Estates Dr Apt B
Fenton, MO 63026-6595
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
13975 Manchester Rd
Suite 3
Ballwin, MO 63011-4500
166 Samarra Estates Dr Apt B
Fenton, MO 63026-6595
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 202521104 | MO | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Open Arms Wellness LLC | Mental Health | Current | Accepting new patients |
Locations
13975 Manchester Rd
Ste 3
Ballwin, MO 63011
Phone (314) 329-4326
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1758153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758153600000",
"number": "1356213482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "166 SAMARRA ESTATES DR APT B",
"city": "FENTON",
"state": "MO",
"postal_code": "630266595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13975 MANCHESTER RD STE 3",
"city": "BALLWIN",
"state": "MO",
"postal_code": "630114500",
"telephone_number": "314-329-4326"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIKUSCH",
"first_name": "EMILY",
"middle_name": "ANN",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-09-18",
"last_updated": "2025-09-18",
"certification_date": "2025-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MO",
"license": "202521104",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ballwin, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.