Active NPI
Shirley Marie Kriesch, LMHP, LADC, CPC
- Personal Care Attendant
- Norfolk, NE
National Provider Identifier
1164709465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- Practice address
- 2304 N Eastwood St Lot 15
Norfolk, NE 68701-1907 - Phone
- (402) 649-7401
- NPI assigned
- Nov 15, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | P-753 | NE | |
| Mental Health Counselor | 101YM0800X | 8779 | NE | |
| Personal Care Attendant | 3747P1801X | NE | Primary |
Addresses
Primary practice location
2304 N Eastwood St Lot 15
Norfolk, NE 68701-1907
Mailing address
2304 N Eastwood St Lot 15
Norfolk, NE 68701-1907
Phone (402) 649-7401
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P-753 | NE | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741132800000",
"number": "1164709465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2304 N EASTWOOD ST LOT 15",
"city": "NORFOLK",
"state": "NE",
"postal_code": "687011907",
"telephone_number": "402-649-7401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2304 N EASTWOOD ST LOT 15",
"city": "NORFOLK",
"state": "NE",
"postal_code": "687011907",
"telephone_number": "402-649-7401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRIESCH",
"first_name": "SHIRLEY",
"middle_name": "MARIE",
"credential": "LMHP, LADC, CPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-11-15",
"last_updated": "2025-03-05",
"certification_date": "2025-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NE",
"license": "P-753",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "8779",
"primary": false
},
{
"code": "3747P1801X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Technician, Personal Care Attendant",
"state": "NE",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norfolk, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.