1720077936 NPI number — MRS. JANE H KINSEY LMHP LMFT

Table of content: MRS. JANE H KINSEY LMHP LMFT (NPI 1720077936)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1720077936 NPI number — MRS. JANE H KINSEY LMHP LMFT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
KINSEY
Provider First Name:
JANE
Provider Middle Name:
H
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
LMHP LMFT
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1720077936
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/12/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6703 HAWKINS BND
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LINCOLN
Provider Business Mailing Address State Name:
NE
Provider Business Mailing Address Postal Code:
68516-1544
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
402-488-8519
Provider Business Mailing Address Fax Number:
402-488-8519

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6703 HAWKINS BND
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LINCOLN
Provider Business Practice Location Address State Name:
NE
Provider Business Practice Location Address Postal Code:
68516-1544
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
402-488-8519
Provider Business Practice Location Address Fax Number:
402-488-8519
Provider Enumeration Date:
10/19/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 106H00000X , with the licence number:  466.27 , registered in the state of NE ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 243543 . This is a "MIDLANDS CHOICE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 016223-000 . This is a "MAGELLAN" identifier . This identifiers is of the category "OTHER".
  • Identifier: 63714667 . This is a "UNITED BEHAVIORAL HEALTH" identifier . This identifiers is of the category "OTHER".
  • Identifier: 218134 . This is a "COMPSYCH" identifier . This identifiers is of the category "OTHER".
  • Identifier: 34136 . This is a "FIRST HEALTH" identifier . This identifiers is of the category "OTHER".
  • Identifier: 82022 . This is a "BLUE CROSS/BLUE SHIELD" identifier . This identifiers is of the category "OTHER".
  • Identifier: 052102 . This is a "VALUE OPTIONS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1833 . This is a "J.P. FARLEY CO." identifier . This identifiers is of the category "OTHER".
  • Identifier: 22771 . This is a "MANAGED HEALTH NETWORK" identifier . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com