RYAN JOEL EMERSON (LMHC) – Mental Health Counselor, NPI 1104064153

RYAN JOEL EMERSON (LMHC) is a healthcare provider. based in Grinnell, Iowa. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LMHC. They hold a License No. 074580 (IA). The NPI Number for RYAN JOEL EMERSON (LMHC) is 1104064153

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
RYAN JOEL EMERSON (LMHC)
NPI
1104064153
Phone
(641) 510-1381
Address
807 4TH AVE
Enumeration Date
29 January 2009
Last Update Date
1 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6415101381
Graduation Year
2009 (17 years ago)
PAC ID
8426493826
Professional Enrollment ID
I20240226000709
Address ID
IA501122042GR807XXAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:17State licenses:1Digital endpointsOther names

630 MENTAL HEALTH COUNSELOR in IA

Provider Addresses for RYAN JOEL EMERSON (LMHC)

  • 807 4TH AVE

    GRINNELL, IA 501122042

    Phone: (641) 510-1381

    Fax: (641) 243-2149

    Type: Mailing

  • Mahaska Health Partnership, 1229, C Avenue East, Oskaloosa, Mahaska County, Iowa, 52577, United States

    OSKALOOSA, IA 525774246

    Phone: (641) 672-3159

    Fax: (641) 672-4259

    Type: Location

  • 407, North C Street, Oskaloosa, Mahaska County, Iowa, 52577, United States

    OSKALOOSA, IA 525772118

    Phone: (641) 672-3159

    Fax: (641) 672-4259

    Type: Mailing

  • 1123 1ST AVE E

    SUITE 200

    NEWTON, IA 502083914

    Phone: (641) 792-4012

    Fax: (641) 791-0697

    Type: Mailing

  • 200 4TH AVE W

    GRINNELL, IA 501121833

    Phone: (641) 528-6065

    Fax: (641) 260-8269

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-02-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240226000709IMental Health CounselorIATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 50112)

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Reviews

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Frequently asked questions

What unique ID ties claims to RYAN JOEL EMERSON (LMHC)?
NPI 1104064153 is assigned to RYAN JOEL EMERSON (LMHC) under the national enumeration system.
Is RYAN JOEL EMERSON (LMHC)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does RYAN JOEL EMERSON (LMHC) treat or focus on?
Patients typically see RYAN JOEL EMERSON (LMHC) under the specialty Mental Health Counselor. Clinical services aligned with this taxonomy classification.
What location shows for RYAN JOEL EMERSON (LMHC)?
We surface Grinnell, Iowa for RYAN JOEL EMERSON (LMHC) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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