Eric Mikkelsen, LAMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LAMFT-4723 Issued in ID

Practice address

321 N 3Rd St
McCall, ID 83638-4439

Phone

(208) 634-2962

NPI assigned

Oct 21, 2014

Last updated

Oct 21, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Central Idaho Counseling, PLLC

  dba Central Idaho Counseling

  • Mental Health Counselor
  • McCall, ID
  • NPI 1275944498

  Marriage & Family Therapist

  NPD Authorized official

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

{
    "created_epoch": "1413849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413849600000",
    "number": "1902200819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 637",
            "city": "DONNELLY",
            "state": "ID",
            "postal_code": "836150637",
            "telephone_number": "208-315-5759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 N 3RD ST",
            "city": "MCCALL",
            "state": "ID",
            "postal_code": "836384439",
            "telephone_number": "208-634-2962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKKELSEN",
        "first_name": "ERIC",
        "credential": "LAMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-10-21",
        "last_updated": "2014-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "ID",
            "license": "LAMFT-4723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Connie McClaran, R.N.
• Ashley E McCoy, LMFT
• Jacklyn Zastrow McDonald, CCC-SLP
• Kathleen McGowan, DC
• Katrina M. McKellips, D.O.
• Meghan Eileen Minshall, LPC
• Jennifer Moon, MA
• Thomas L Moore, LCPC
• Irwin Mulnick, D.C., C.C.S.P.
• Linda Joy Uma Mulnick, D.C., D.A.B.C.I.

• Marriage & Family Therapist in McCall, ID
• Providers in McCall, ID by specialty
• Marriage & Family Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2014; 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.