Nicole L Eitzen, LCMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

2503 Issued in KS

Practice address

1600 N Lorraine St
202
Hutchinson, KS 67501-5670

Phone

(620) 663-7595

Fax

(620) 663-5263

NPI assigned

Sep 18, 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

Enrolled in KS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Marriage and Family Therapist

Education

Other, 2013

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Horizons Mental Health Center, Inc.

  • Community/Behavioral Health Agency
  • Hutchinson, KS
  • NPI 1447354089
  Medicare reassignment

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

{
    "created_epoch": "1379462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500508800000",
    "number": "1114353414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 N LORRAINE ST",
            "address_2": "202",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675015670",
            "telephone_number": "620-663-7595",
            "fax_number": "620-663-5263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 N LORRAINE ST",
            "address_2": "202",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675015670",
            "telephone_number": "620-663-7595",
            "fax_number": "620-663-5263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EITZEN",
        "first_name": "NICOLE",
        "middle_name": "L",
        "credential": "LCMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-18",
        "last_updated": "2017-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KS",
            "license": "2503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jammie Nicole Edwards, LPN
• Pamela Edwards, MD
• Neil Lynn Ehling, PTA
• Faythe Paula Eigsti, LMFT
• Randy Eilert, MD
• Ioannis Eleftheriou, OTR
• Jennifer Ellet, RD/LD
• Afton Taylor Ellington, APRN
• Ruth Ellen Ellison, RPH
• Jaime L Elseth, PTA

• Marriage & Family Therapist in Hutchinson, KS
• Providers in Hutchinson, KS by specialty
• Marriage & Family Therapist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.