Provider Demographics
NPI:1548486624
Name:MEYER-KRIKAC, KOLLEEN (MS, LMHP, LPC, NCC)
Entity type:Individual
Prefix:
First Name:KOLLEEN
Middle Name:
Last Name:MEYER-KRIKAC
Suffix:
Gender:F
Credentials:MS, LMHP, LPC, NCC
Other - Prefix:
Other - First Name:KOLLEEN
Other - Middle Name:ROSE
Other - Last Name:KRIKAC
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS, LMHP, LPC, NCC
Mailing Address - Street 1:4830 WILSHIRE BLVD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68504-3365
Mailing Address - Country:US
Mailing Address - Phone:402-499-5547
Mailing Address - Fax:402-467-2769
Practice Address - Street 1:4830 WILSHIRE BLVD
Practice Address - Street 2:SUITE 102
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68504-3365
Practice Address - Country:US
Practice Address - Phone:402-499-5547
Practice Address - Fax:402-467-2769
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-17
Last Update Date:2017-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE2325101YM0800X
NE1292101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE85128OtherBLUE CROSS BLUE SHIELD