Individual provider Active NPI

Emily Ann Mikusch, LPC

  • Mental Health Counselor
  • Ballwin, MO
National Provider Identifier
1356213482
Registry record updated Sep 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
202521104 Issued in MO
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

Updated by the provider on Sep 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

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

LicenseStateTypeSpecialty
202521104MOMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Open Arms Wellness LLC Mental Health CurrentSince Sep 21, 2025 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

Verify at the official NPI Registry.