Erika Renee Diederich, LPC

Individual provider Active NPI Professional Counselor · Colby, KS

NPI 1609657899 · NPPES record last updated Oct 12, 2023

Key facts

NPI
1609657899
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
04523 (KS)
Practice address
485 W 4TH St
Colby, KS 67701-2139
Phone
(785) 460-7588
NPI assigned
Oct 12, 2023
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
04523KSMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Stable Minds Counseling, LLC Professional Current
since Aug 4, 2024
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 04523 KS Yes

Addresses

Primary practice location

485 W 4TH St
Colby, KS 67701-2139

Mailing address

385 Goltl St
Ludell, KS 67744-4275
Phone (620) 282-1902

Other providers in Colby, KS

All providers in Colby, KS · Professional Counselor in Kansas

Sources for this page

Verify at the official NPI Registry.