Individual provider · Type 1 NPI
Susan D. Diercks
Mental Health Counselor · Omaha, NE
NPI number
1487549960
Active
Practice location
13056 Atwood Ave
Omaha, NE 68144-3721
Mailing address
18909 Manderson St
Elkhorn, NE 68022-5209
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 14427 (NE) |
Mental Health Counselor: Definition to come...
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About NPI 1487549960
Susan D. Diercks's National Provider Identifier is 1487549960, issued on Jun 12, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Omaha, NE. The record was last updated on Jun 12, 2025.