MR. JEREMY EICKE LPC LCDC NPI 1417546946

NPI Information

  • NPI: 1417546946
  • Provider Name: MR. JEREMY EICKE, LPC, LCDC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 648 LAZY RIVER DR
    PRINCETON, TX
    ZIP 75407
  • Phone: (972) 533-7620

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NPI Details

MR. Jeremy Eicke, LPC, LCDC is a mental health counselor in Princeton, TX. MR. Jeremy Eicke, LPC, LCDC NPI is 1417546946. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

648 LAZY RIVER DR
PRINCETON, TX
ZIP 75407-917
Phone: (972) 533-7620

The enumeration date for this NPI number is 1/11/2021 and was last updated on 1/11/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)13876TEXASNo
2101YM0800XCounselorMental Health79619TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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