KRYSTINA ERICHSEN (NPI# 1689034118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689034118 |
| Entity Type | Individual |
| Full Name | KRYSTINA ERICHSEN |
| Practice Address |
1272 Ne Windsor Dr Lees Summit MO 64086-5594 |
| Practice Telephone | 8162464465 |
| Practice Fax Number | 8165247008 |
| Mailing Telephone | 8162464465 |
| Mailing Fax Number | 8165247008 |
| Enumeration Date | 2016-02-25 |
| Last Update Date | 2016-02-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers |
| Street Address |
1272 NE WINDSOR DR |
| City | LEES SUMMIT |
| State | MO |
| Zip Code | 64086-5594 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114928983 | Elaine Rudd Strid | Counselor | 1272 Ne Windsor Dr, Lees Summit, MO 64086 | 2005-08-03 |
| 1538766381 | Aeriel Feeback | Social Worker | 1272 Ne Windsor Dr, Lees Summit, MO 64086-5594 | 2020-10-05 |
| 1487289062 | Dawn Clendenen-moon | Social Worker | 1272 Ne Windsor Dr, Lees Summit, MO 64086-5594 | 2020-03-04 |
| 1053962019 | Eileen Fratzke | Counselor | 1272 Ne Windsor Dr, Lees Summit, MO 64086-5594 | 2019-09-21 |
| 1427609494 | Sean Joseph Dowling | Counselor | 1272 Ne Windsor Dr, Lees Summit, MO 64086-5594 | 2019-09-21 |
| 1346721826 | Alan Dale Harris | Counselor | 1272 Ne Windsor Dr, Lees Summit, MO 64086-5594 | 2018-08-23 |
| 1336650555 | Amy Marie Dublinske | Counselor | 1272 Ne Windsor Dr, Lees Summit, MO 64086-5594 | 2017-10-15 |
| 1013444322 | Megan Elizabeth Deaver | Counselor | 1272 Ne Windsor Dr, Lees Summit, MO 64086-5594 | 2017-05-17 |
| 1750839650 | Courtney Fall | Counselor | 1272 Ne Windsor Dr, Lees Summit, MO 64086-5594 | 2016-09-20 |
| 1386017663 | Mary Starr | Counselor | 1272 Ne Windsor Dr, Lees Summit, MO 64086-5594 | 2015-11-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740821057 | David L Harrison | Pharmacist | 6 Nw Sycamore St Ste A, Lees Summit, MO 64086 | 2019-10-08 |
| 1770069403 | Foster Family Pharmacy | Pharmacy | 6 Nw Sycamore St., Suite A, Lee's Summit, MO 64086 | 2018-07-16 |
| 1255716221 | Summit Eye Center, LLC | Ophthalmology | 1621 Nw Blue Parkway, Lees Summit, MO 64086 | 2015-07-20 |
| 1679954085 | Day By Day Staff Relief, LLC | Hospice Care, Community Based | 943 Ne Columbus Street, Lees Summit, MO 64086 | 2015-06-11 |
| 1831505544 | Johnathan Almeida | Emergency Medicine | 100 Ne St Lukes Blvd, Emergency Department, Lees Summit, MO 64086 | 2014-07-02 |
| 1215358429 | Alex Sharifian Dds Summit Modern Dentistry PC | Dentist | 940 Nw Blue Parkway, Suite A, Lee's Summit, MO 64086 | 2013-12-16 |
| 1477807303 | Lauren M Lee | Nurse Practitioner | 1425 Nw Blue Parkway, Lee's Summit, MO 64086 | 2012-10-30 |
| 1396016507 | Retha Rene Rudloff | General Practice | 1728 N.e. Misty Lane, Lee's Summit, MO 64086 | 2012-01-19 |
| 1629351200 | Missouri Dental Professionals, Richard Straus, Dmd, PC | Dentist | 691 Nw Blue Pkwy, Lees Summit, MO 64086 | 2011-09-21 |
| 1497054308 | Jennifer Nelson | Physical Therapist | 301 Ne Tudor, Lee's Summit, MO 64086 | 2011-03-17 |
| Find all providers in zip 64086 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295343820 | Samantha Harris | Counselor | 225 Sw Noel St, Lees Summit, MO 64063-2241 | 2020-07-20 |
| 1457916348 | Restoring Pathways Counseling Services, LLC | Counselor | 108 Se Rose Garden Ln, Lees Summit, MO 64064-2802 | 2019-05-06 |
| 1932657582 | Sara Kasper | Counselor | 120 Sw 2nd St, Suite 107b, Lees Summit, MO 64063-2345 | 2016-09-12 |
| 1104201581 | Melissa Mcclung | Counselor | 4048 Sw Leeward Dr, Lees Summit, MO 64082-4720 | 2015-07-27 |
| 1497061675 | David P Robbins | Counselor | 688 Se Bayberry Ln Ste 103c, Lees Summit, MO 64063-4392 | 2010-08-25 |
| 1750533840 | Kristina Kay Broz | Counselor | 1917 Ne Peters Cir, Lees Summit, MO 64086-5300 | 2008-10-21 |
| 1184180879 | Robbins Psychology Inc | Counselor | 688 Se Bayberry Ln Ste 103c, Lees Summit, MO 64063-4392 | 2019-02-18 |
| 1417442658 | Richard Clemente Bambenek | Counselor | 529 Se 2nd St Ste D, Lees Summit, MO 64063-2654 | 2018-06-29 |
| 1851745202 | Lisa Lisec | Counselor | 529 Se 2nd St, Suite A, Lees Summit, MO 64063-2694 | 2016-04-21 |
| 1740659903 | Alicia M Grindstaff | Counselor | 1272 Ne Windsor Dr, Lees Summit, MO 64086-5594 | 2015-09-17 |
| Find all providers in LEES SUMMIT | ||||
| City | LEES SUMMIT |
| Zip Code | 64086 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.