Individual provider Active NPI

Kolleen Meyer-Krikac, M.S., LMHP, LPC, NCC

  • Mental Health Counselor
  • Lincoln, NE
National Provider Identifier
1548486624
Registry record updated Apr 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2325 Issued in NE
Practice address
4830 Wilshire Blvd
Suite 102
Lincoln, NE 68504-3365
Phone
(402) 499-5547
Fax
(402) 467-2769
NPI assigned
Apr 17, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 2325 NE Primary
Professional Counselor 101YP2500X 1292 NE

Addresses

Primary practice location

4830 Wilshire Blvd
Suite 102
Lincoln, NE 68504-3365

Mailing address

4830 Wilshire Blvd
Suite 102
Lincoln, NE 68504-3365
Phone (402) 499-5547

Other identifiers 1

IdentifierTypeStateIssuer
85128OtherNEBLUE CROSS BLUE SHIELD

Other names 1

  • Kolleen Rose Krikac Other name

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
2325NEMDPhysical Medicine & Rehabilitation Physician
1292NEMDSpeech-Language Pathologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491436800000",
    "number": "1548486624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4830 WILSHIRE BLVD",
            "address_2": "SUITE 102",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685043365",
            "telephone_number": "402-499-5547",
            "fax_number": "402-467-2769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4830 WILSHIRE BLVD",
            "address_2": "SUITE 102",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685043365",
            "telephone_number": "402-499-5547",
            "fax_number": "402-467-2769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYER-KRIKAC",
        "first_name": "KOLLEEN",
        "credential": "M.S., LMHP, LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2017-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "2325",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NE",
            "license": "1292",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "85128",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KOLLEEN",
            "last_name": "KRIKAC",
            "middle_name": "ROSE",
            "credential": "MS, LMHP, LPC, NCC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2017; 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.