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NICOLE MARIE DIERCKS LPC, CSAC
NPI 1841746146
Counselor - Mental Health in Clarksville, TN

Active since August 28, 2016
950 OLD MACK RD, CLARKSVILLE, TN 37040(512) 887-2862 Get Directions Write a Review

NPPES record last updated: April 1, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 1, 2025, Feb 27, 2025, Nov 9, 2024 and 6 more (9 updates tracked since 2016).

About Nicole Marie Diercks Lpc, Csac NPPES

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

NICOLE MARIE DIERCKS LPC, CSAC (NPI 1841746146) is an individual mental health provider in Clarksville, Tennessee, licensed in Wisconsin (6995-125) and active in the NPI registry since August 2016.

NPPES Registry Identity

NPI1841746146
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameNICOLE MARIE DIERCKSCredential: LPC, CSAC
Location Address950 OLD MACK RDClarksville, TN 37040-8338
Mailing Address950 Old Mack RdClarksville, TN 37040-8338 · (512) 887-2862
Phone(512) 887-2862
Sole ProprietorYes
Enumeration DateAugust 28, 2016
Last NPPES UpdateApril 1, 20259 updates tracked since enumeration
NPPES CertifiedApril 1, 2025
✔ NPI 1841746146 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in WI · 6995-125
Also ListedCounselorTaxonomy 101Y00000X · License 0701008933 (VA)
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 16382-132 (WI)
950 OLD MACK RD, Clarksville, TN 37040
Open in Google Maps ↗

Other Identifiers 2

Medicaid1295228120WI
Medicaid14378296VA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES

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

EMPOWERING INNER STRENGTH, LLC
Counselor (Mental Health)
950 OLD MACK RD
CLARKSVILLE, TN 37040
Montgomery County (512) 887-2862

Frequently Asked Questions

What is Nicole Diercks's NPI number?

The NPI number assigned to this healthcare provider is 1841746146, enumerated as an "individual" on August 28, 2016.

Where is the provider located?

The provider is located at 950 OLD MACK RD CLARKSVILLE, TN 37040 and the phone number is (512) 887-2862.

What is the provider's specialty?

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

What insurance does Nicole Diercks accept?

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield,. Please consult your insurance carrier or call the provider to verify.