Individual provider Active NPI

Danielle Denise Kennebeck

  • Addiction (Substance Use Disorder) Counselor
  • Norfolk, NE
National Provider Identifier
1265694103
Registry record updated Jul 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
STUDENT
Practice address
1800 Syracuse Ave
Norfolk, NE 68701-2458
Phone
(402) 371-8834
Fax
(402) 379-0988
NPI assigned
Jul 1, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X STUDENT Primary

Addresses

Primary practice location

1800 Syracuse Ave
Norfolk, NE 68701-2458

Mailing address

1800 Syracuse Ave
Norfolk, NE 68701-2458
Phone (402) 371-8834

Other names 1

  • Dana Denise Kennebeck Other 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

NPI Registry JSON

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

{
    "created_epoch": "1214870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214870400000",
    "number": "1265694103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 SYRACUSE AVE",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687012458",
            "telephone_number": "402-371-8834",
            "fax_number": "402-379-0988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 SYRACUSE AVE",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687012458",
            "telephone_number": "402-371-8834",
            "fax_number": "402-379-0988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEBECK",
        "first_name": "DANIELLE",
        "middle_name": "DENISE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-01",
        "last_updated": "2008-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": "STUDENT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANA",
            "last_name": "KENNEBECK",
            "middle_name": "DENISE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Norfolk, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.