Provider Demographics
NPI:1134587587
Name:EGGERT, KRYSTI (LIMHP, LAD, LPC)
Entity type:Individual
Prefix:
First Name:KRYSTI
Middle Name:
Last Name:EGGERT
Suffix:
Gender:F
Credentials:LIMHP, LAD, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13513 COTTNER ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68137-1629
Mailing Address - Country:US
Mailing Address - Phone:402-957-1709
Mailing Address - Fax:
Practice Address - Street 1:13513 COTTNER ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68137-1629
Practice Address - Country:US
Practice Address - Phone:402-957-1709
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-31
Last Update Date:2023-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NEP-1251101YA0400X
NE1493101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)