Organization Active NPI

Greg Mucklow Counseling

  • Mental Health Counselor
  • Hastings, NE
National Provider Identifier
1295573624
Registry record updated Jul 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
GREG MUCKLOW COUNSELING
Practice address
2217 W 12TH St Ste 4
Hastings, NE 68901-3660
Phone
(308) 238-1428
Fax
(855) 838-8884
NPI assigned
Jul 18, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2024

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

Authorized official

Name
Debra J Vavra
Title
Billing Specialist
Phone
(308) 627-6126

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

2217 W 12TH St Ste 4
Hastings, NE 68901-3660

Mailing address

2217 W 12TH St Ste 4
Hastings, NE 68901-3660
Phone (308) 238-1428

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1721260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721260800000",
    "number": "1295573624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2217 W 12TH ST STE 4",
            "city": "HASTINGS",
            "state": "NE",
            "postal_code": "689013660",
            "telephone_number": "308-238-1428",
            "fax_number": "855-838-8884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2217 W 12TH ST STE 4",
            "city": "HASTINGS",
            "state": "NE",
            "postal_code": "689013660",
            "telephone_number": "308-238-1428",
            "fax_number": "855-838-8884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREG MUCKLOW COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-18",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A",
        "authorized_official_last_name": "VAVRA",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "BILLING SPECIALIST",
        "authorized_official_telephone_number": "308-627-6126"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hastings, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.