Individual provider Active NPI

Kim R Arter, LMHP, CPC

  • Counselor
  • Omaha, NE
National Provider Identifier
1205923075
Registry record updated Jan 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
3137 Issued in NE
Practice address
11414 W Center Rd Ste 239
Omaha, NE 68144-4487
Phone
(402) 330-1633
Fax
(402) 370-3370
NPI assigned
Oct 5, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 3137 NE Primary

Addresses

Primary practice location

11414 W Center Rd Ste 239
Omaha, NE 68144-4487

Mailing address

11414 W Center Rd Ste 239
Omaha, NE 68144-4487
Phone (402) 330-1633

Other identifiers 1

IdentifierTypeStateIssuer
3137OtherNELICENSE #

Other names 1

  • Ms. Kim R Test 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
3137NEMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199664000000",
    "number": "1205923075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11414 W CENTER RD STE 239",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681444487",
            "telephone_number": "402-330-1633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11414 W CENTER RD STE 239",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681444487",
            "telephone_number": "402-330-1633",
            "fax_number": "402-370-3370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARTER",
        "first_name": "KIM",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "LMHP, CPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2008-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NE",
            "license": "3137",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "3137",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIM",
            "last_name": "TEST",
            "middle_name": "R",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2008; 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.