Kathy J Carr

Primary specialty

CounselorTaxonomy code 101Y00000X

License

12654 Issued in NE

Practice address

PO Box 26
Bassett, NE 68714-0026

Phone

(402) 684-2908

Fax

(402) 913-3454

NPI assigned

Aug 24, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Practice roles

Locations

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.

• Midwest Country Clinic LLC

  • Mental Health Counselor
  • Bassett, NE
  • NPI 1417155433
  NPD

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

{
    "created_epoch": "1598227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1154934859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26",
            "city": "BASSETT",
            "state": "NE",
            "postal_code": "687140026",
            "telephone_number": "402-684-2908",
            "fax_number": "402-913-3454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 26",
            "city": "BASSETT",
            "state": "NE",
            "postal_code": "687140026",
            "telephone_number": "402-684-2908",
            "fax_number": "402-913-3454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARR",
        "first_name": "KATHY",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-24",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NE",
            "license": "12654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "#",
            "affiliation": "N",
            "address_1": "917 W 21st St",
            "city": "South Sioux City",
            "state": "NE",
            "country_code": "US",
            "postal_code": "687762652",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Teresa K Babcock
• Shiela Marie Baragar
• Pamela J Barrow, RD, LN
• Alvin Ortega Benemerito, RPT
• Shanda Dae Benemerito, OTR/L, CPAM
• Lynn D Cooper, PLMHP
• Joshua Coyle
• Sally Ann Davis-Jackson, MSW, PLMHP, CSW
• Melissa Dearmont, MSW,LICSW, LIMHP, CM
• Brittany Devall Heyden

• Counselor in Bassett, NE
• Providers in Bassett, NE by specialty
• Counselor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.

Verify at the official NPI Registry.