Individual provider Active NPI

Elizabeth Anne Fichtel, PLMHP

  • Addiction (Substance Use Disorder) Counselor
  • La Vista, NE
National Provider Identifier
1073915112
Registry record updated Sep 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Practice address
8610 Brentwood Dr
Suite 1
La Vista, NE 68128-3377
Phone
(402) 331-3232
Fax
(402) 331-1557
NPI assigned
Sep 19, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X Primary

Addresses

Primary practice location

8610 Brentwood Dr
Suite 1
La Vista, NE 68128-3377

Mailing address

8610 Brentwood Dr
Suite 1
La Vista, NE 68128-3377
Phone (402) 331-3232

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1411084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411344000000",
    "number": "1073915112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8610 BRENTWOOD DR",
            "address_2": "SUITE 1",
            "city": "LA VISTA",
            "state": "NE",
            "postal_code": "681283377",
            "telephone_number": "402-331-3232",
            "fax_number": "402-331-1557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8610 BRENTWOOD DR",
            "address_2": "SUITE 1",
            "city": "LA VISTA",
            "state": "NE",
            "postal_code": "681283377",
            "telephone_number": "402-331-3232",
            "fax_number": "402-331-1557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FICHTEL",
        "first_name": "ELIZABETH",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "PLMHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-19",
        "last_updated": "2014-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Vista, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.