MEDICARE: ANNIKA GRACE MENGES LMHC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	120902	IA

General Provider Information

NPI Number	:	1356212542
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNIKA GRACE MENGES LMHC

Provider Business Mailing Address
First Line	:	455 16TH AVE SE APT 522
Second Line	:
City	:	CEDAR RAPIDS
State	:	IA
Zip	:	52401-2621
Country	:	US
Telephone Number	:	319-654-6597
Fax Number	:

Provider Business Practice Location Address
First Line	:	3053 CENTER POINT RD NE STE B
Second Line	:
City	:	CEDAR RAPIDS
State	:	IA
Zip	:	52402-4049
Country	:	US
Telephone Number	:	319-249-9609
Fax Number	:	319-289-7006

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/12/2025
Last Update Date	:	09/12/2025

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Directions to “ ANNIKA GRACE MENGES LMHC” Practice Location

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