Active NPI
Katherine Eicher, LCSW
- Mental Health Counselor
- Saint Marys, GA
National Provider Identifier
1336474139
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- CW017143
- Practice address
- 205 Lakeshore PT
Saint Marys, GA 31558-3843 - Phone
- (912) 510-3420
- Fax
- (912) 510-3425
- NPI assigned
- Oct 12, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | CW017143 | PA | Primary |
Addresses
Primary practice location
205 Lakeshore PT
Saint Marys, GA 31558-3843
Mailing address
205 Lakeshore PT
Saint Marys, GA 31558-3843
Phone (912) 510-3420
Other names 1
- Katherine Hostetler
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1387152000000",
"number": "1336474139",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 LAKESHORE PT",
"city": "SAINT MARYS",
"state": "GA",
"postal_code": "315583843",
"telephone_number": "912-510-3420",
"fax_number": "912-510-3425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 LAKESHORE PT",
"city": "SAINT MARYS",
"state": "GA",
"postal_code": "315583843",
"telephone_number": "912-510-3420",
"fax_number": "912-510-3425"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EICHER",
"first_name": "KATHERINE",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-10-12",
"last_updated": "2013-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "PA",
"license": "CW017143",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KATHERINE",
"last_name": "HOSTETLER",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Saint Marys, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.