Provider Demographics
NPI:1336288463
Name:BARRETT, ERIKA D (LPC)
Entity Type:Individual
Prefix:MS
First Name:ERIKA
Middle Name:D
Last Name:BARRETT
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MS
Other - First Name:ERIKA
Other - Middle Name:D
Other - Last Name:CALDWELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS
Mailing Address - Street 1:3401 W TRUMAN BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:JEFFERSON CITY
Mailing Address - State:MO
Mailing Address - Zip Code:65109-5752
Mailing Address - Country:US
Mailing Address - Phone:573-644-7909
Mailing Address - Fax:573-644-7908
Practice Address - Street 1:3401 W TRUMAN BLVD STE 100
Practice Address - Street 2:
Practice Address - City:JEFFERSON CITY
Practice Address - State:MO
Practice Address - Zip Code:65109-5752
Practice Address - Country:US
Practice Address - Phone:573-644-7909
Practice Address - Fax:573-644-7908
Is Sole Proprietor?:No
Enumeration Date:2007-02-05
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1527101YM0800X
MO2013041193101YP2500X, 101YM0800X
NE2938101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE241777OtherMIDLANDS CHOICE
NE85445OtherBCBS