Healthcare Provider Details

I. General information

NPI: 1558939801
Provider Name (Legal Business Name): LORI J HIKIJI LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/14/2021
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

103 E 6TH ST STE 102
AMES IA
50010-6300
US

IV. Provider business mailing address

103 E 6TH ST STE 101
AMES IA
50010-6300
US

V. Phone/Fax

Practice location:
  • Phone: 999-999-9999
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number00359
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: