Provider Demographics
NPI:1538516919
Name:KUBE, ERICA (LIMHP, CPC, BCN)
Entity Type:Individual
Prefix:
First Name:ERICA
Middle Name:
Last Name:KUBE
Suffix:
Gender:F
Credentials:LIMHP, CPC, BCN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11930 ARBOR ST
Mailing Address - Street 2:SUITE 203
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68144-2998
Mailing Address - Country:US
Mailing Address - Phone:402-933-2916
Mailing Address - Fax:402-933-2919
Practice Address - Street 1:11930 ARBOR ST
Practice Address - Street 2:SUITE 203
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68144-2998
Practice Address - Country:US
Practice Address - Phone:402-933-2916
Practice Address - Fax:402-933-2919
Is Sole Proprietor?:No
Enumeration Date:2016-05-16
Last Update Date:2017-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1728101YM0800X
NE4932101YM0800X
NE2356101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE1728OtherNE STATE LICENSE
NE2356OtherCERTIFIED PROFESSIONAL COUNSELOR
NE4932OtherNE STATE LICENSE