Emma Lee Van Dillen, M.ED, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2024046605 Issued in MO

Practice address

8651 Hwy N
Ste 100, Box 65
Lake Saint Louis, MO 63367-4329

Phone

(314) 202-4026

NPI assigned

Nov 5, 2012

Last updated

Feb 7, 2025By the provider in NPPES

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

• Emma Lee Godby Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

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

{
    "created_epoch": "1352073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738886400000",
    "number": "1811241441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8651 HWY N",
            "address_2": "STE 100, BOX 65",
            "city": "LAKE SAINT LOUIS",
            "state": "MO",
            "postal_code": "633674329",
            "telephone_number": "314-202-4026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8651 HWY N",
            "address_2": "STE 100, BOX 65",
            "city": "LAKE SAINT LOUIS",
            "state": "MO",
            "postal_code": "633674329",
            "telephone_number": "314-202-4026"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "71 N Ridgewynd Ct",
            "address_purpose": "LOCATION",
            "city": "Lake Saint Louis",
            "state": "MO",
            "postal_code": "633674329",
            "country_code": "US",
            "telephone_number": "314-202-4026",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAN DILLEN",
        "first_name": "EMMA",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "M.ED, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-05",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2024046605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMMA",
            "last_name": "GODBY",
            "middle_name": "LEE",
            "credential": "M.ED, LPC-IT, SAC-IT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Sarah Udell, MS, RD/LD
• Jillian Marie Vogt
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• Janice Lynn Wade, LMFT
• Tonya Renee' Warren, ANP-BC
• Daniel J Washeck, PT

• Professional Counselor in Lake Saint Louis, MO
• Providers in Lake Saint Louis, MO by specialty
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2025; 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.