MEDICARE: SHIRLEY MARIE KRIESCH LMHP, LADC, CPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	P-753	NE
2	101YM0800X	Mental Health Counselor	8779	NE
3	3747P1801X	Personal Care Attendant		NE

General Provider Information

NPI Number	:	1164709465
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHIRLEY MARIE KRIESCH LMHP, LADC, CPC

Provider Business Mailing Address
First Line	:	2304 N EASTWOOD ST LOT 15
Second Line	:
City	:	NORFOLK
State	:	NE
Zip	:	68701-1907
Country	:	US
Telephone Number	:	402-649-7401
Fax Number	:

Provider Business Practice Location Address
First Line	:	2304 N EASTWOOD ST LOT 15
Second Line	:
City	:	NORFOLK
State	:	NE
Zip	:	68701-1907
Country	:	US
Telephone Number	:	402-649-7401
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/15/2011
Last Update Date	:	03/05/2025

Similar Medicare Providers

1912719204 — CRYSTAL BROOKE VITERNA
Practice Location Address:

2304 N EASTWOOD ST LOT 14
NORFOLK, NE
68701-1907

Practice Phone: 402-316-6824
Practice Fax:

1780667303 — W.L. COLLINS CORP.
Practice Location Address:

14 NORFOLK AVE
SOUTH EASTON, MA
02375-1907

Practice Phone: 508-580-2825
Practice Fax: 508-586-3058

1811974587 — SOUTH SHORE MEDICAL SUPPLY, INC.
Practice Location Address:

58 NORFOLK AVE , UNIT # 2
SOUTH EASTON, MA
02375-1907

Practice Phone: 508-230-7272
Practice Fax: 508-230-7269

1689068991 — JENNIFER ROWE
Practice Location Address:

929 HILLSIDE AVE
NORFOLK, VA
23503-1907

Practice Phone: 781-315-7059
Practice Fax:

1548110182 — DESIREE MARIE GULLICKSEN
Practice Location Address:

105 E NORFOLK AVE
NORFOLK, NE
68701-5323

Practice Phone: 402-933-0680
Practice Fax:

1184574634 — JORDEN M EHLY
Practice Location Address:

3104 RAASCH DR
NORFOLK, NE
68701-3407

Practice Phone: 308-833-5300
Practice Fax:

Directions to “ SHIRLEY MARIE KRIESCH LMHP, LADC, CPC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.