KELLY MICEK (NPI# 1740646157) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740646157 |
| Entity Type | Individual |
| Full Name | KELLY MICEK |
| Credential | PLMHP |
| Practice Address |
20275 Honeysuckle Dr Ste 103 Elkhorn NE 68022-3962 |
| Practice Telephone | 4029335700 |
| Practice Fax Number | 4029339998 |
| Mailing Telephone | 4029335700 |
| Mailing Fax Number | 4029339998 |
| Enumeration Date | 2016-01-14 |
| Last Update Date | 2016-01-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
10767 | NE | Behavioral Health & Social Service Providers |
| Street Address |
20275 HONEYSUCKLE DR STE 103 |
| City | ELKHORN |
| State | NE |
| Zip Code | 68022-3962 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700166485 | Samantha Hall | Counselor | 20275 Honeysuckle Dr, Elkhorn, NE 68022-3962 | 2011-08-25 |
| 1841741147 | Tino Miller | Counselor | 20275 Honeysuckle Dr, Ste 103, Elkhorn, NE 68022-3962 | 2016-10-21 |
| 1275980138 | Melissa Plybon | Counselor | 20275 Honeysuckle Dr, Ste 103, Elkhorn, NE 68022-3962 | 2016-05-20 |
| 1942662606 | Arick Grinberg | Counselor | 20275 Honeysuckle Dr, Elkhorn, NE 68022-3962 | 2016-03-22 |
| 1356701650 | Daejanira Lyncook | Counselor | 20275 Honeysuckle Dr, Ste 103, Elkhorn, NE 68022-3962 | 2016-02-29 |
| 1801253166 | Nicole Bonifas | Counselor | 20275 Honeysuckle Dr, Ste 103, Elkhorn, NE 68022-3962 | 2016-01-18 |
| 1528435146 | Krystal Humbard | Counselor | 20275 Honeysuckle Dr, Ste 103, Elkhorn, NE 68022-3962 | 2015-08-31 |
| 1538541123 | Caitlin Jacobs | Counselor | 20275 Honeysuckle Dr, Ste 103, Elkhorn, NE 68022-3962 | 2015-06-19 |
| 1205240918 | Rachel Cottier | Counselor | 20275 Honeysuckle Dr, Elkhorn, NE 68022-3962 | 2014-06-20 |
| 1861805350 | Kirsten Dillon | Counselor | 20275 Honeysuckle Dr, Elkhorn, NE 68022-3962 | 2014-06-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124672860 | Gb Enterprises LLC | Chiropractor | 18924 Evans St., Suite 105, Elkhorn, NE 68022 | 2019-07-31 |
| 1740743327 | Athletico Excel Nebraska, LLC | Physical Therapist | 18940 Evans St #106, Elkhorn, NE 68022 | 2019-04-10 |
| 1992283584 | Rainwood Rx LLC | Pharmacy | 20513 Nicholas Circle, Ste 3, Elkhorn, NE 68022 | 2018-08-06 |
| 1124512298 | Akridge and Akridge Chiropractic West, LLC | Chiropractor | 1529 S 203rd St, Suite 3, Elkhorn, NE 68022 | 2018-06-21 |
| 1205361631 | Nancy A Nielsen | Speech-Language Pathologist | 20650 Glenn Street, Elkhorn Public Schools, Elkhorn, NE 68022 | 2017-04-24 |
| 1073975496 | Diana Lynn Meyer | Speech-Language Pathologist | 20650 Glenn St., Omaha, NE 68022 | 2016-03-24 |
| 1841696440 | Amanda R Herlein | Physical Therapist | 20650 Glenn St, Elkhorn, NE 68022 | 2014-11-07 |
| 1669871679 | Ashley Hein | Speech-Language Pathologist | 4103 N 194th St, Elkhorn, NE 68022 | 2014-08-14 |
| 1710249701 | Peter Edwin Harbert | Dentist | 18101 Chicago Street, Suite #107, Omaha, NE 68022 | 2012-06-14 |
| 1700161775 | Garrett Raymond Mack | Chiropractor | 18924 Evans St, Suite 105, Elkhorn, NE 68022 | 2011-10-20 |
| Find all providers in zip 68022 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063051472 | Integrative Psychiatry, LLC | Counselor | 20324 Veterans Dr Ste 104, Elkhorn, NE 68022-3552 | 2020-01-02 |
| 1265927255 | Amanda E Wells | Counselor | 19534 Farnam St, Elkhorn, NE 68022-4833 | 2018-06-22 |
| 1376041996 | Alexandrea Ashley | Counselor | 20275 Honeysuckle Dr Ste 103, Elkhorn, NE 68022-3962 | 2018-01-29 |
| 1013425925 | Shadoin Counseling and Consulting, LLC | Counselor | 18322 Jones St, Elkhorn, NE 68022-5675 | 2018-01-12 |
| 1982153516 | Sarah Barnes | Counselor | 216 S 200th St, Elkhorn, NE 68022-4882 | 2016-09-23 |
| 1720438336 | Kathryn Hepner | Counselor | 209 O' Connor Drive, Elkhorn, WI 53121-4269 | 2016-06-14 |
| 1497180582 | Lori Ann Wingerter | Counselor | 3910 S 226th St, Elkhorn, NE 68022-2416 | 2013-09-07 |
| 1366799389 | Roxann Kay Worley | Counselor | 21325 Edgevale Cir, Elkhorn, NE 68022-2010 | 2012-08-08 |
| 1700166485 | Samantha Hall | Counselor | 20275 Honeysuckle Dr, Elkhorn, NE 68022-3962 | 2011-08-25 |
| 1700056025 | Erin M Macier | Counselor | W4063 Hwy Nn, Elkhorn, WI 53121-4338 | 2008-03-03 |
| Find all providers in ELKHORN | ||||
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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.