ERIC KAMMERSGARD LMFT NPI 1568505345

NPI Information

NPI: 1568505345
Provider Name: ERIC KAMMERSGARD, LMFT
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

PECOS Registration: Yes

Address:
165 E HAWTHORNE AVE
COLVILLE, WA
ZIP 99114
Phone: (509) 684-4597
Get Directions

Eric Kammersgard, LMFT is a mental health counselor in Colville, WA with 34 years of experience. Eric Kammersgard, LMFT NPI is 1568505345. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

165 E HAWTHORNE AVE
COLVILLE, WA
ZIP 99114-629
Phone: (509) 684-4597
Fax: (509) 684-5286

The NPI 1568505345 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 2/14/2007 and was last updated on 2/5/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	106H00000X	Marriage & Family Therapist		MFC 30864	CALIFORNIA	No
2	171M00000X	Case Manager/Care Coordinator				No
3	101YM0800X	Counselor	Mental Health	LH60977038	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	41688	MEDICAID	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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