Elisabeth Dykshorn, LMSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

130931 Issued in IA

Practice address

12035 University Ave Ste 202
Clive, IA 50325-8264

Phone

(515) 650-2627

NPI assigned

Sep 21, 2026

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Elisabeth Peterson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1789948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789948800000",
    "number": "1598677999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12035 UNIVERSITY AVE STE 202",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503258264",
            "telephone_number": "515-650-2627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12035 UNIVERSITY AVE STE 202",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503258264",
            "telephone_number": "515-650-2627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYKSHORN",
        "first_name": "ELISABETH",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-21",
        "last_updated": "2026-09-21",
        "certification_date": "2026-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "130931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELISABETH",
            "last_name": "PETERSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.