Kathleen M Benson, LADAC
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Oneill, NE
NPI 1265615165 · NPPES record last updated Dec 13, 2007
Key facts
- NPI
- 1265615165
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 634 (NE)
- Practice address
- 118 N 5TH St
Oneill, NE 68763-1565 - Phone
- (402) 336-4841
- Fax
- (402) 336-4640
- NPI assigned
- Dec 13, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 634 | NE | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Counseling & Enrichment Center, Inc | Past | Accepting new patients | |
| Counsleing & Enrichment Center | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 634 | NE | Yes |
Addresses
Primary practice location
118 N 5TH St
Oneill, NE 68763-1565
Mailing address
118 N 5TH St
Oneill, NE 68763-1565
Phone (402) 336-4841
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10025001800 | Medicaid | NE |
Other providers in Oneill, NE
- Brooke Elizabeth Bauer
- Tonya Bauman
- Debra Bazelman
- Teresa Beiermann
- Dean L Benson
- Rebecca Benson
- Dale Bessey
- Joey J Bockerman
- Kami Lynn Boettcher
- Colleen Bordovsky
All providers in Oneill, NE · Addiction (Substance Use Disorder) Counselor in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 13, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.