Individual provider Active NPI

Nikita Ehlts, LMHC, LPC, NCC

  • Counselor
  • Cedar Rapids, IA
National Provider Identifier
1609248848
Registry record updated Apr 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
088381 Issued in IA
Practice address
1435 31St St NE Ste C
Cedar Rapids, IA 52402-4056
Phone
(319) 448-3481
NPI assigned
Oct 27, 2015
Last updated
Apr 26, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 2014041465 MO
Counselor 101Y00000X 088381 IA Primary

Addresses

Primary practice location

1435 31St St NE Ste C
Cedar Rapids, IA 52402-4056

Mailing address

1435 31St St NE Ste C
Cedar Rapids, IA 52402-4056
Phone (319) 448-3481

Other practice location 1

1744 2nd Ave SE
Cedar Rapids, IA 52403-2306
Phone (319) 366-4673

Other identifiers 2

IdentifierTypeStateIssuer
0410776MedicaidIA
1609248848MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241007000217 IA Practitioner - Mental Health Counselor 1153852876 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2014041465MOMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Nikita Ehlts LMHC PLLC Counselor CurrentSince Aug 25, 2024 Accepting new patients
House of Hope PastSince Jul 24, 2022 Accepting new patients

Locations

1435 31st St NE
Ste C
Cedar Rapids, IA 52402
Phone (319) 200-5006

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1445904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682467200000",
    "number": "1609248848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1435 31ST ST NE STE C",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524024056",
            "telephone_number": "319-448-3481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1435 31ST ST NE STE C",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524024056",
            "telephone_number": "319-448-3481"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1744 2nd Ave SE",
            "address_purpose": "LOCATION",
            "city": "Cedar Rapids",
            "state": "IA",
            "postal_code": "524032306",
            "country_code": "US",
            "telephone_number": "319-366-4673",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EHLTS",
        "first_name": "NIKITA",
        "credential": "LMHC, LPC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-27",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MO",
            "license": "2014041465",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IA",
            "license": "088381",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0410776",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1609248848",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Rapids, IA

Sources for this page

Verify at the official NPI Registry.