Family Network

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

320,787, AND 511 Issued in NE

Legal business name

FAMILY NETWORK

Practice address

1811 W 2ND St
Suite 330
Grand Island, NE 68803-5413

Phone

(308) 382-8085

Fax

(308) 382-2582

NPI assigned

Jan 18, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Kaye Mindt Long, LIMHP, LCSW

Title

Sole Proprietor

Phone

(308) 382-8085

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Wanda Kaye Long, LCSW, LIMHP

  • Mental Health Counselor
  • Grand Island, NE
  • NPI 1720134844
  Medicare reassignment NPD
• Paige M Denman, MSCC

  • Mental Health Counselor
  • Grand Island, NE
  • NPI 1275813198
  NPD (past)

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

{
    "created_epoch": "1326844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326844800000",
    "number": "1124399464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1811 W 2ND ST",
            "address_2": "SUITE 330",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688035413",
            "telephone_number": "308-382-8085",
            "fax_number": "308-382-2582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 W 2ND ST",
            "address_2": "SUITE 330",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688035413",
            "telephone_number": "308-382-8085",
            "fax_number": "308-382-2582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-18",
        "last_updated": "2012-01-18",
        "status": "A",
        "authorized_official_last_name": "MINDT LONG",
        "authorized_official_first_name": "KAYE",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "308-382-8085",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LIMHP, LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "320,787, AND 511",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026098900",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN MDCR (ORIGINAL)",
            "identifier": "260662",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Family Dental Care
• Family Eyecare Center, PC
• Family First Dental Associates of West Point, P.C.
• Family Medical Care
• Family Medicine and Urgent Care of Grand Island LLC
• Family Practice of Grand Island P C
• Family Resources of Greater Nebraska PC
• Zachariah Fanning
• Tracy Fanta
• Hodan M Farah, PLMHP

• Mental Health Counselor in Grand Island, NE
• Providers in Grand Island, NE by specialty
• Mental Health Counselor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.