Individual provider Active NPI

Moriah Elizabeth Eickhoff, LIMHP, CPC, LADC

  • Mental Health Counselor
  • North Platte, NE
National Provider Identifier
1841489598
Registry record updated May 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1017 Issued in NE
Practice address
809 S Silber Ave
North Platte, NE 69101-6176
Phone
(308) 221-6868
Fax
(308) 221-6868
NPI assigned
Oct 18, 2007
Last updated
May 9, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2017

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 816 NE
Mental Health Counselor 101YM0800X 3623 NE
Mental Health Counselor 101YM0800X 1017 NE Primary
Professional Counselor 101YP2500X 1813 NE

Addresses

Primary practice location

809 S Silber Ave
North Platte, NE 69101-6176

Mailing address

809 S Silber Ave
North Platte, NE 69101-6176
Phone (308) 221-6868

Other names 1

  • Moriah Elizabeth Kramer Former 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

State licenses

LicenseStateTypeSpecialty
1017NEMDOptometrist
3623NEMDPhysical Therapist
816NEMDSpeech-Language Pathologist
1813NEMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Moriah Eickhoff Counseling, LLC 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, 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": "1192665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494288000000",
    "number": "1841489598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 S SILBER AVE",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691016176",
            "telephone_number": "308-221-6868",
            "fax_number": "308-221-6868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 S SILBER AVE",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691016176",
            "telephone_number": "308-221-6868",
            "fax_number": "308-221-6868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EICKHOFF",
        "first_name": "MORIAH",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "LIMHP, CPC, LADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-18",
        "last_updated": "2017-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NE",
            "license": "816",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "3623",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "1017",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NE",
            "license": "1813",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MORIAH",
            "last_name": "KRAMER",
            "middle_name": "ELIZABETH",
            "credential": "LIMHP, CPC, LADC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in North Platte, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 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.