Jaime Coulson Eckrich, LCAC
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Fairway, KS
NPI 1346929338 · NPPES record last updated Jul 17, 2023
Key facts
- NPI
- 1346929338
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 469 (KS)
- Practice address
- 3831 W 57TH Ter
Fairway, KS 66205-3402 - Phone
- (913) 484-9011
- NPI assigned
- Jul 17, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 469 | KS | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 469 | KS | Yes |
Addresses
Primary practice location
3831 W 57TH Ter
Fairway, KS 66205-3402
Mailing address
3831 W 57TH Ter
Fairway, KS 66205-3402
Phone (913) 484-9011
Other providers in Fairway, KS
- Annette Carroll
- Carrie Dial
- Mary Frances Donnelly
- Heather Drake
- Katherine E Dwyer
- Fairway Eye Center, Inc
- Samantha Annette Fikru
- Mary Beth E Fisher
- Four B Corp
- Anne Baldwin Grant
All providers in Fairway, KS · Addiction (Substance Use Disorder) Counselor in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 17, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.