Active NPI
Katelyn Olivia Coburn, LIMHP, CMFT, LCMFT
- Mental Health Counselor
- Lincoln, NE
National Provider Identifier
1003441437
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 3257
- Practice address
- 5700 Thompson Creek Blvd Ste 3
Lincoln, NE 68516-6579 - Phone
- (785) 333-3839
- NPI assigned
- Mar 5, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 03208 | KS | |
| Mental Health Counselor | 101YM0800X | 3257 | NE | Primary |
Addresses
Primary practice location
5700 Thompson Creek Blvd Ste 3
Lincoln, NE 68516-6579
Mailing address
5700 Thompson Creek Blvd Ste 3
Lincoln, NE 68516-6579
Phone (785) 333-3839
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03208 | KS | MD | Mental Health Counselor |
| 3257 | NE | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706918400000",
"number": "1003441437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5700 THOMPSON CREEK BLVD STE 3",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685166579",
"telephone_number": "785-333-3839"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5700 THOMPSON CREEK BLVD STE 3",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685166579",
"telephone_number": "785-333-3839"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COBURN",
"first_name": "KATELYN",
"middle_name": "OLIVIA",
"credential": "LIMHP, CMFT, LCMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-03-05",
"last_updated": "2024-02-03",
"certification_date": "2024-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "KS",
"license": "03208",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "3257",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.