Sandra Hale Kroeker, PC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

33 Issued in NE

Legal business name

SANDRA HALE KROEKER, PC

Practice address

1080 17TH St
Henderson, NE 68371-8906

Phone

(402) 723-4883

Fax

(402) 723-4914

NPI assigned

Mar 2, 2010

Organization subpart

No

Name

Sandra Hale Kroeker, LMSW

Title

Clinical Social Worker

Phone

(402) 723-4883

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

• Sandra Lee Kroeker, LCSW

  • Clinical Social Worker
  • Henderson, NE
  • NPI 1255529145

  Mental Health, NE

  Medicare reassignment NPD
• Jessica Martino

  • Clinical Social Worker
  • Henderson, NE
  • NPI 1063833416

  Clinical

  NPD (past)

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 2, 2010.

{
    "created_epoch": "1267488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267488000000",
    "number": "1285957415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 684",
            "address_2": "1080 17TH ST.",
            "city": "HENDERSON",
            "state": "NE",
            "postal_code": "683710684",
            "telephone_number": "402-723-4883",
            "fax_number": "402-723-4914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1080 17TH ST",
            "city": "HENDERSON",
            "state": "NE",
            "postal_code": "683718906",
            "telephone_number": "402-723-4883",
            "fax_number": "402-723-4914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDRA HALE KROEKER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-02",
        "last_updated": "2010-03-02",
        "status": "A",
        "authorized_official_last_name": "KROEKER",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "HALE",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "402-723-4883",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "33",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NE",
            "license": "76",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "NE",
            "license": "64",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025795700",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donald Norris, R.P.
• James Matthew Ohrt, M.D.
• Samantha Ellen Pederson, PA-C
• Whitney Rathke, D.P.T.
• Patricia Saltzman
• Cortney Van Den Berg
• Christopher A Vanderneck, M.D.
• Debra Wilhelm

• All providers in Henderson, NE
• Mental Health Counselor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2010; 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.