Active NPI
Michael J Kreifels, L.A.D.C.
- Addiction (Substance Use Disorder) Counselor
- Grand Island, NE
National Provider Identifier
1295870004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- LADC-378
- Practice address
- 2116 W Faidley Ave
Grand Island, NE 68803-4645 - Phone
- (308) 728-3678
- Fax
- (308) 398-5404
- NPI assigned
- Feb 20, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LADC-378 | NE | Primary |
Addresses
Primary practice location
2116 W Faidley Ave
Grand Island, NE 68803-4645
Mailing address
RR 2 Box 63a
Ord, NE 68862-9768
Phone (308) 728-3976
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LADC-378 | Other | NE | ALCOHOL & DRUG COUNSELOR |
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 |
|---|---|---|---|
| LADC-378 | 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": "1171929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1295870004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "RR 2 BOX 63A",
"city": "ORD",
"state": "NE",
"postal_code": "688629768",
"telephone_number": "308-728-3976"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2116 W FAIDLEY AVE",
"city": "GRAND ISLAND",
"state": "NE",
"postal_code": "688034645",
"telephone_number": "308-728-3678",
"fax_number": "308-398-5404"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KREIFELS",
"first_name": "MICHAEL",
"middle_name": "J",
"credential": "L.A.D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NE",
"license": "LADC-378",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALCOHOL & DRUG COUNSELOR",
"identifier": "LADC-378",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grand Island, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.