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: August 16, 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
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

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

Other Providers at the Same Location NPPES

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

Counselor (Mental Health)
950 OLD MACK RD
CLARKSVILLE, TN 37040

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicole Diercks's NPI number?

The NPI number for Nicole Diercks is 1841746146. It was assigned to this individual provider in the NPPES registry on August 28, 2016.

Where is Nicole Diercks located?

Nicole Diercks practices at 950 Old Mack Rd, Clarksville, TN 37040. The listed phone number is (512) 887-2862.

What is Nicole Diercks's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

What insurance does Nicole Diercks accept?

Health plans from Anthem Blue Cross and Blue Shield and UnitedHealthcare list Nicole Diercks as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nicole Diercks was last updated on April 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.