Active NPI
Julia Ann Raben
- Mental Health Counselor
- Whitney, NE
National Provider Identifier
1104603737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 14115
- Practice address
- 4200 Elkhorn St
Whitney, NE 69367-9502 - Phone
- (308) 207-5125
- Fax
- (855) 551-4086
- NPI assigned
- Sep 8, 2023
- Last updated
- Oct 9, 2024
- Sex
- Female
- Sole proprietor
- No
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 | 21054 | SD | |
| Mental Health Counselor | 101YM0800X | 14115 | NE | Primary |
Addresses
Primary practice location
4200 Elkhorn St
Whitney, NE 69367-9502
Mailing address
300 Shelton St
Chadron, NE 69337-2312
Phone (308) 432-8979
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 |
|---|---|---|---|
| 14115 | NE | MD | Mental Health Counselor |
| 21054 | SD | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728432000000",
"number": "1104603737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 SHELTON ST",
"city": "CHADRON",
"state": "NE",
"postal_code": "693372312",
"telephone_number": "308-432-8979",
"fax_number": "308-432-8974"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4200 ELKHORN ST",
"city": "WHITNEY",
"state": "NE",
"postal_code": "693679502",
"telephone_number": "308-207-5125",
"fax_number": "855-551-4086"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RABEN",
"first_name": "JULIA",
"middle_name": "ANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-08",
"last_updated": "2024-10-09",
"certification_date": "2024-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "SD",
"license": "21054",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "14115",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.