Active NPI
Kristie Dawn Earsom, PLMHP NCC
- Counselor
- Loomis, NE
National Provider Identifier
1457643165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 9323
- Practice address
- 10730 737 Rd
Loomis, NE 68958-5806 - Phone
- (308) 876-2327
- Fax
- (308) 876-2130
- NPI assigned
- May 12, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 9323 | NE | Primary |
| Mental Health Counselor | 101YM0800X | 9323 | NE |
Addresses
Primary practice location
10730 737 Rd
Loomis, NE 68958-5806
Mailing address
710 Burlington St
Holdrege, NE 68949-2177
Phone (308) 995-6691
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 |
|---|---|---|---|
| 9323 | NE | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Counseling Toward Hope LLC | Mental Health | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1305158400000",
"number": "1457643165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "710 BURLINGTON ST",
"city": "HOLDREGE",
"state": "NE",
"postal_code": "689492177",
"telephone_number": "308-995-6691",
"fax_number": "308-995-6830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10730 737 RD",
"city": "LOOMIS",
"state": "NE",
"postal_code": "689585806",
"telephone_number": "308-876-2327",
"fax_number": "308-876-2130"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EARSOM",
"first_name": "KRISTIE",
"middle_name": "DAWN",
"name_prefix": "Mrs.",
"credential": "PLMHP NCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-05-12",
"last_updated": "2011-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NE",
"license": "9323",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "9323",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Loomis, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.