Organization Active NPI

K&M Counseling, LLC

  • Mental Health Counselor
  • North Platte, NE
National Provider Identifier
1316262918
Registry record updated Apr 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
3623 Issued in NE
Legal business name
K&M COUNSELING, LLC
Practice address
402 S Jeffers St
North Platte, NE 69101-5350
Phone
(308) 532-4940
Fax
(308) 532-4941
NPI assigned
Apr 7, 2010
Last updated
Apr 7, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2010

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

Authorized official

Name
Moriah Eickhoff, LPC, LADC
Title
Co-Owner
Phone
(308) 532-4940

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 816 NE
Addiction (Substance Use Disorder) Counselor 101YA0400X P-884 NE
Mental Health Counselor 101YM0800X 728 NE
Mental Health Counselor 101YM0800X 3623 NE Primary
Professional Counselor 101YP2500X 1813 NE

Addresses

Primary practice location

402 S Jeffers St
North Platte, NE 69101-5350

Mailing address

402 S Jeffers St
North Platte, NE 69101-5350
Phone (308) 532-4940

Other identifiers 1

IdentifierTypeStateIssuer
10025839200MedicaidNE

National Provider Directory

National Provider Directory

Locations

402 S Jeffers St
North Platte, NE 69101
Phone (308) 221-6899

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": "1270598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270598400000",
    "number": "1316262918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 S JEFFERS ST",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691015350",
            "telephone_number": "308-532-4940",
            "fax_number": "308-532-4941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 S JEFFERS ST",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691015350",
            "telephone_number": "308-532-4940",
            "fax_number": "308-532-4941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K&M COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-07",
        "last_updated": "2010-04-07",
        "status": "A",
        "authorized_official_last_name": "EICKHOFF",
        "authorized_official_first_name": "MORIAH",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "308-532-4940",
        "authorized_official_credential": "LPC, LADC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NE",
            "license": "816",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NE",
            "license": "P-884",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "728",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "3623",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NE",
            "license": "1813",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025839200",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Platte, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2010; 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.