Carole Lynn Denton, LIMHP

Individual provider Active NPI Professional Counselor · Grand Island, NE

NPI 1114928017 · NPPES record last updated Dec 3, 2013

Key facts

NPI
1114928017
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
288 (NE)
Practice address
207 N Pine St
Ste 106
Grand Island, NE 68801-5900
Phone
(308) 382-8604
Fax
(308) 675-1021
NPI assigned
Aug 2, 2005
Sex
Female
Sole proprietor
Yes

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
288NEMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Prairie Counseling Mental Health Past Accepting new patients
Sozo Family Services Mental Health Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 404 NE
Professional Counselor 101YP2500X 288 NE Yes

Addresses

Primary practice location

207 N Pine St
Ste 106
Grand Island, NE 68801-5900

Mailing address

114 Ponderosa Dr
Grand Island, NE 68803-9646
Phone (308) 379-0806

Other identifiers

IdentifierTypeStateIssuer
10025856900MedicaidNE

Other names

  • Mrs. Carole Kroeger Denton Former name

Other providers in Grand Island, NE

All providers in Grand Island, NE · Professional Counselor in Nebraska

Sources for this page

Verify at the official NPI Registry.