Beth Klootwyk, ED.S., BCBA

Primary specialty

School PsychologistTaxonomy code 103TS0200X

License

20230000776 Issued in NE

Practice address

20303 Blue Sage Pkwy
Omaha, NE 68130-3721

Phone

(402) 289-0616

NPI assigned

Aug 27, 2025

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1756252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756252800000",
    "number": "1053290916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21822 H ST",
            "city": "ELKHORN",
            "state": "NE",
            "postal_code": "680223377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20303 BLUE SAGE PKWY",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681303721",
            "telephone_number": "402-289-0616"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 S 210th St",
            "address_purpose": "LOCATION",
            "city": "Elkhorn",
            "state": "NE",
            "postal_code": "680222166",
            "country_code": "US",
            "telephone_number": "402-289-3433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLOOTWYK",
        "first_name": "BETH",
        "credential": "ED.S., BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-27",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "NE",
            "license": "20230000776",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NE",
            "license": "0327",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hta Klo
• Kate L Kloberdanz, DNP
• Kasey Klocek
• Julie Ann Klock, MS
• Kathleen Kloewer, D.C.
• Andrea Klooz, MD
• Reagan A Klooz
• Justin P Kloppenborg
• William Kluck
• Elena Kluener

• School Psychologist in Omaha, NE
• Providers in Omaha, NE by specialty
• School Psychologist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.