Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ekaradhika Lila Requena

Individual provider Mental Health Counselor · NPI 1619345543

Ekaradhika Lila Requena is a Mental Health Counselor in Waverly, Iowa. Qualified in 2015, 11 years ago. Practices with Pathways Behavioral Services Inc, a 17-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Iowa.

Years since qualifying
11
Licensed in
IA
In the registry since
2015
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Practice location Address checks out

111 10th St SW
Waverly, IA 50677-2925
Phone: (319) 352-2064
Fax: (319) 352-2329
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 079124 (IA)

Record details

NPI number1619345543
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 9, 2015
Last updated in NPPESDecember 20, 2023
Certification dateDecember 20, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Pathways Behavioral Services Inc — 17 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Waverly