Individual provider Active NPI

Carole Lynn Denton, LIMHP

  • Professional Counselor
  • Grand Island, NE
National Provider Identifier
1114928017
Registry record updated Dec 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
288 Issued in 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
Last updated
Dec 3, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2013

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

Specialties & licenses 2

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

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 1

IdentifierTypeStateIssuer
10025856900MedicaidNE

Other names 1

  • Mrs. Carole Kroeger Denton Former name

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

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386028800000",
    "number": "1114928017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 PONDEROSA DR",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688039646",
            "telephone_number": "308-379-0806",
            "fax_number": "308-675-1021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 N PINE ST",
            "address_2": "STE 106",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688015900",
            "telephone_number": "308-382-8604",
            "fax_number": "308-675-1021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENTON",
        "first_name": "CAROLE",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "LIMHP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-02",
        "last_updated": "2013-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "404",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NE",
            "license": "288",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025856900",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLE",
            "last_name": "DENTON",
            "middle_name": "KROEGER",
            "prefix": "MRS.",
            "credential": "LIMHP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Grand Island, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2013; 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.