Kaylin Dayle Erickson, BSW, LADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

303655 Issued in MN

Practice address

403 4TH St NW Ste 300
Bemidji, MN 56601-3196

Phone

(218) 444-5155

Fax

(218) 333-3921

NPI assigned

Jul 29, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1375056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375056000000",
    "number": "1073955217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 4TH ST NW STE 300",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566013196",
            "telephone_number": "218-444-5155",
            "fax_number": "218-333-3921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 4TH ST NW STE 300",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566013196",
            "telephone_number": "218-444-5155",
            "fax_number": "218-333-3921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERICKSON",
        "first_name": "KAYLIN",
        "middle_name": "DAYLE",
        "name_prefix": "Ms.",
        "credential": "BSW, LADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-29",
        "last_updated": "2013-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "303655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Faith Elizabeth Emerson, LADC
• Episcopal Community Services, Inc. (Archdeacon Gilfillan Center)
• Episcopal Community Services, Inc. (Archdeacon Gilfillan Center MH-CD Program)
• Chad Erickson
• Gary S Erickson, DDS
• Michael Alan Erickson, CRNA
• Roberta Erickson, OTR/L CHT
• Valerie Rose Tweit Erickson, APRN
• Barbara J Eriksson-Capes, NP
• Arlon Bruce Eriksson, CRNA

• Addiction (Substance Use Disorder) Counselor in Bemidji, MN
• Providers in Bemidji, MN by specialty
• Addiction (Substance Use Disorder) Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2013; 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.