Elise Marie Eichberg, LPC
Individual provider Active NPI Professional Counselor · Union, MO
NPI 1992299176 · NPPES record last updated Sep 4, 2018
Key facts
- NPI
- 1992299176
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 2016031757 (MO)
- Practice address
- 1780 Old Highway 50 E
Union, MO 63084 - Phone
- (636) 582-8100
- NPI assigned
- Jun 20, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231127001881 | MO | Practitioner - Mental Health Counselor | 4587012836 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Compass Health, Inc | Current |
Accepting new patients | |
| Compass Health, Inc | Current |
Accepting new patients |
Locations
1800 Community
#B
Clinton, MO 64735
1800 Community
Clinton, MO 64735
Phone (660) 885-8131
1780 Old Highway 50 E
Union, MO 63084
Phone (636) 582-8100
1780 Old Highway 50 E
Ste 111
Union, MO 63084
Phone (636) 584-0305
1780 Old Highway 50 E
Ste 102
Union, MO 63084
Phone (636) 583-1611
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2016031757 | MO | Yes |
Addresses
Primary practice location
1780 Old Highway 50 E
Union, MO 63084
Mailing address
1800 Community
Clinton, MO 64735-8804
Phone (660) 885-8131
Other providers in Union, MO
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- Taylor Shea Echele
- Amanda Elise Eckelkamp
- Jenna N Eckelkamp
- Michael Q. Edwards
- Rhiannon Elise Eilers
- Timothy Scott Ellefson
- Margaret Anne Ellett
- Everything Respiratory
- Trisha Lynnette Ezell
All providers in Union, MO · Professional Counselor in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 4, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.