NPIMap

Organization Active NPI

Erin Eickenhorst LPC

  • Professional Counselor
  • Middletown, CT
National Provider Identifier
1114265378
Registry record updated Jan 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
001771 Issued in CT
Legal business name
ERIN EICKENHORST LPC
Practice address
460 Smith St
Suite L, Box 3
Middletown, CT 06457-1594
Phone
(860) 604-8386
NPI assigned
Jan 23, 2013
Last updated
Jan 23, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2013

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

Authorized official

Name
Erin EickenhorstNPI 1700062197
Title
LPC
Phone
(860) 604-8386

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 001771 CT Primary

Addresses

Primary practice location

460 Smith St
Suite L, Box 3
Middletown, CT 06457-1594

Mailing address

460 Smith St
Suite L, Box 3
Middletown, CT 06457-1594

National Provider Directory

National Provider Directory

Locations

460 Smith St
Ste L
Middletown, CT 06457
Phone (860) 338-4841

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1358899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358899200000",
    "number": "1114265378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 SMITH ST",
            "address_2": "SUITE L, BOX 3",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064571594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 SMITH ST",
            "address_2": "SUITE L, BOX 3",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064571594",
            "telephone_number": "860-604-8386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIN EICKENHORST LPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-23",
        "last_updated": "2013-01-23",
        "status": "A",
        "authorized_official_last_name": "EICKENHORST",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "LPC",
        "authorized_official_telephone_number": "860-604-8386"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "001771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.