MARK WILLIAM ERICKSON (NPI# 1285291088) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285291088 |
| Entity Type | Individual |
| Full Name | MARK WILLIAM ERICKSON |
| Credential | MA, PLMHP |
| Practice Address |
11422 Miracle Hills Dr Ste 401 Omaha NE 68154-4420 |
| Mailing Address |
2618 N 109th Ct Apt 106 Omaha NE 68164-3876 |
| Practice Telephone | 4028981113 |
| Mailing Telephone | 6086584979 |
| Enumeration Date | 2019-05-28 |
| Last Update Date | 2019-05-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
11855 | NE | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225149198 | Mark Alan Erickson Sr. | Marriage & Family Therapist | 16248 Victor St, Victorville, CA 92395-3934 | 2006-08-31 |
| 1578579017 | Mark Arnold Erickson | Dentist | 612 13th St S, Virginia, MN 55792-3149 | 2006-08-01 |
| 1619937307 | Mark Lee Erickson | Dentist | 113 N Anthony Ave, Anthony, KS 67003-2007 | 2006-03-25 |
| 1336137157 | Mark F. Erickson | Dentist | 383 S Schmale Rd, Carol Stream, IL 60188-2756 | 2005-10-06 |
| 1295332286 | Mark S Erickson | Registered Nurse | 16045 1st Ave S, Burien, WA 98148-1401 | 2020-10-03 |
| 1043579477 | Mark Erickson | Chiropractor | 625 Nw 17th Ave, Portland, OR 97209-2209 | 2012-05-04 |
| 1144587551 | Mark James Erickson | Dentist | 1836 South Ave, La Crosse, WI 54601 | 2012-04-23 |
| 1225325111 | Mark R Erickson | Physical Therapist | 161 W Wisconsin Ave, Pewaukee, WI 53072-3467 | 2011-06-30 |
| 1518193242 | Mark Andrew Erickson | Anesthesiology | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2009-06-09 |
| 1326135476 | Mark Erickson | Orthopaedic Surgery | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2006-10-09 |
| Street Address |
11422 MIRACLE HILLS DR STE 401 |
| City | OMAHA |
| State | NE |
| Zip Code | 68154-4420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336680396 | Kristi Bose | Nurse Practitioner | 11422 Miracle Hills Dr Ste 401, Omaha, NE 68154 | 2017-03-10 |
| 1144849464 | Cari Ott | Nurse Practitioner | 11422 Miracle Hills Dr Ste 401, Omaha, NE 68154-4420 | 2020-04-16 |
| 1023675410 | Anneliese E Schmidt | Counselor | 11422 Miracle Hills Dr Ste 401, Omaha, NE 68154-4420 | 2019-05-22 |
| 1114484334 | Verve Collaborative Health, LLC | Counselor | 11422 Miracle Hills Dr Ste 401, Omaha, NE 68154-4420 | 2019-02-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275149262 | Vervech | Counselor | 11422 Miracle Hills Drive, Suite 401, Omaha, NE 68154 | 2020-09-16 |
| 1891318150 | Pure Massage, LLC | Massage Therapist | Pure Massage, LLC, 11316 Davenport St, Omaha, NE 68154 | 2020-05-21 |
| 1326682592 | Andrea Dawn Degner | Counselor | 11580 W. Dodge Frontage Rd, Omaha, NE 68154 | 2019-10-31 |
| 1669035150 | Gerard Thomas IIi | Physical Therapist | Triage LLC, 12020 Pacific Street, Omaha, NE 68154 | 2019-04-19 |
| 1306311352 | Sakrx, LLC | Pharmacy | 624 N 114th St, Omaha, NE 68154 | 2018-10-05 |
| 1033622782 | Raquelle G. Rowe | Registered Nurse | 11840 Nicholas Street Suite 215, Med Staff, Omaha, NE 68154 | 2017-11-15 |
| 1326442781 | Heather Andsager | Pharmacy Technician | 13360 California Street, Omaha, NE 68154 | 2014-10-14 |
| 1073917605 | Ann Leever | Pharmacist | 505 N 155th Plaza, Omaha, NE 68154 | 2014-10-10 |
| 1689078222 | Melissa Svec | Emergency Medical Technician, Basic | 1705 N 121st St #203, Omaha, NE 68154 | 2014-10-10 |
| 1366851032 | Carrie Arnold | Pharmacy Technician | 13360 California St, Omaha, NE 68154 | 2014-08-07 |
| Find all providers in zip 68154 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164023321 | Omaha Mental Health LLC | Counselor | 12305 Gold St Ste 13, Omaha, NE 68144-2760 | 2020-11-04 |
| 1275149262 | Vervech | Counselor | 11422 Miracle Hills Drive, Suite 401, Omaha, NE 68154 | 2020-09-16 |
| 1497368476 | Jennifer Cherney | Counselor | 9218 Bedford Ave, Omaha, NE 68134-4726 | 2020-08-28 |
| 1356959530 | Wonderful Counselor | Counselor | 1524 Cuming St Apt 309, Omaha, NE 68102-4435 | 2020-07-14 |
| 1295357069 | Tracy N Gilman | Counselor | 42nd and Dewey St, Omaha, NE 68198-1023 | 2020-05-14 |
| 1609498609 | Moreno Therapy, PC, LLC | Counselor | 2620 N 132nd Ave, Omaha, NE 68164-4023 | 2020-05-12 |
| 1992334494 | Benjamin Daniel Wright | Counselor | 6206 S 37th St, Omaha, NE 68107-3840 | 2020-04-06 |
| 1558995662 | Cord Where Science Meets Connection LLC | Counselor | 10826 Old Mill Rd Ste 103a, Omaha, NE 68154-2660 | 2020-02-27 |
| 1124652656 | Be Kind Counseling LLC | Counselor | 4917 Underwood Ave # 3, Omaha, NE 68132-2421 | 2020-02-24 |
| 1326682592 | Andrea Dawn Degner | Counselor | 11580 W. Dodge Frontage Rd, Omaha, NE 68154 | 2019-10-31 |
| Find all providers in OMAHA | ||||
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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.