Sandra L Eickmann, MA, MPH, LPC
Individual provider Active NPI Professional Counselor · Berthoud, CO
NPI 1013073642 · NPPES record last updated Sep 22, 2015
Key facts
- NPI
- 1013073642
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- LPC.0011233 (CO)
- Practice address
- 1515 Diamond Wall Dr
Berthoud, CO 80513-8449 - Phone
- (970) 460-8477
- Fax
- (970) 460-7226
- NPI assigned
- Dec 28, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC.0011233 | CO | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC.0011233 | CO | Yes |
Addresses
Primary practice location
1515 Diamond Wall Dr
Berthoud, CO 80513-8449
Mailing address
1515 Diamond Wall Dr
Berthoud, CO 80513-8449
Phone (970) 460-8477
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 75248 | Other | MT | BLUE CROSS BLUE SHIELD |
Other providers in Berthoud, CO
- Cornerstone Chiropractic, Inc.
- Caroline Corning-Creager
- Tamara D Crown
- James F Deschene
- Dr. William Kleber, D.C., P.C.
- Timm H. Eickmann
- William Rex Eland
- Theresa Eriksen
- Executive Physical Therapy, Inc.
- Eye Specialists of West County, P.C.
All providers in Berthoud, CO · Professional Counselor in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 22, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.