ALYCIA JULIA WIRTZ
NPI 1447846167
Counselor - Mental Health in Fort Dodge, IA

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

Active since December 16, 2020PECOS EnrolledAccepts Medicare Assignment

720 KENYON RD, FORT DODGE, IA 50501(800) 482-8305 Get Directions Write a Review

NPPES record last updated: December 16, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Alycia Julia Wirtz NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALYCIA JULIA WIRTZ (NPI 1447846167) is an individual mental health provider in Fort Dodge, Iowa, licensed in Iowa (101549) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1447846167

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameALYCIA JULIA WIRTZ

Location Address720 KENYON RDFort Dodge, IA 50501-5759

Mailing Address720 Kenyon RdFort Dodge, IA 50501-5759 · (800) 482-8305

Phone(800) 482-8305

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateDecember 16, 2020

NPPES CertifiedDecember 16, 2020

✔ NPI 1447846167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in IA · 101549

720 KENYON RD, Fort Dodge, IA 50501

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Other Identifiers 2

Other07466IA · Bluecross Blue Shield

Medicaid0159608IA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Oscar Insurance Company, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Alycia Julia Wirtz is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5698125177

PECOS Enrollment IDI20231226000097

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KIMBERLY R HANSON RN

Registered Nurse (Psychiatric/Mental Health, Adult)

720 KENYON RD
FORT DODGE, IA 50501

Webster County (515) 955-7171

DEBRA K DELP RN

Registered Nurse (Psychiatric/Mental Health, Adult)

720 KENYON RD
FORT DODGE, IA 50501

Webster County (515) 955-7171

KYLE V MCCARD LISW

Social Worker (Clinical)