Active NPI
Greg Mucklow Counseling
- Mental Health Counselor
- Hastings, NE
National Provider Identifier
1295573624
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 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 DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Counselor
- Hastings, NE
- NPI 1730637018
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.