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Nicole Eikeness

Counselor

Behavioral Health & Social Service Providers

3321 W Kennewick Ave Ste 150, Kennewick, WA 99336-2968

(509) 783-2085

PECOS Enrollment

Based on the most recent information from CMS, provider Nicole Eikeness does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 10:04 AM.

Profile Details

Provider ID
1568020659
Provider Type
Individual
Full Name
Eikeness, Nicole
Gender
Female

Sole Proprietor
No
Enumeration Date
6/3/2019
Last Updated
3/6/2020

Contact Information

Practice Location

3321 W Kennewick Ave Ste 150, Kennewick, WA 99336-2968

(509) 783-2085

Unlisted Fax

Mailing Location

3321 W Kennewick Ave Ste 150, Kennewick, WA 99336-2968

(509) 783-2085

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101Y00000X Primary	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer
Code 106S00000X	Description Behavior Technician Behavioral Health & Social Service Providers	License Unlisted Issuer

Provider Identifiers

ID	Description	Issuer
ID 500744220	Description Medicaid	Issuer Unlisted Washington
ID 1026117	Description Medicaid	Issuer Unlisted Washington

Nicole Eikeness

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

Mitchell, Kaila L.

Mccary, Rhiannon Nichole

Rosser, Seth Bozeman

Macy, Shundiin Kamalani

Haskins, Kelley Randall

Andrade Mendoza, Yesenia Jiniol

Guendulein Cruz, Silvia

Valencia, Javier

Garcia, Victoria E

Waldo, Kyndal Lynn