Julia Ann Raben
Individual provider Active NPI Mental Health Counselor · Whitney, NE
NPI 1104603737 · NPPES record last updated Oct 9, 2024
Key facts
- NPI
- 1104603737
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 14115 (NE)
- Practice address
- 4200 Elkhorn St
Whitney, NE 69367-9502 - Phone
- (308) 207-5125
- Fax
- (855) 551-4086
- NPI assigned
- Sep 8, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14115 | NE | MD | Mental Health Counselor |
| 21054 | SD | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 21054 | SD | |
| Mental Health Counselor | 101YM0800X | 14115 | NE | Yes |
Addresses
Primary practice location
4200 Elkhorn St
Whitney, NE 69367-9502
Mailing address
300 Shelton St
Chadron, NE 69337-2312
Phone (308) 432-8979
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 9, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.