Active NPI
Mary Ann Weber
- Addiction (Substance Use Disorder) Counselor
- Kearney, NE
National Provider Identifier
1346413200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 111
- Practice address
- 3810 Central Ave
Kearney, NE 68847-8134 - Phone
- (308) 237-5951
- Fax
- (308) 234-4017
- NPI assigned
- Apr 10, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 111 | NE | Primary |
| Mental Health Counselor | 101YM0800X | 519 | NE |
Addresses
Primary practice location
3810 Central Ave
Kearney, NE 68847-8134
Mailing address
3810 Central Ave
Kearney, NE 68847-8134
Phone (308) 237-5951
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 519 | NE | MD | Mental Health Counselor |
| 111 | NE | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207785600000",
"number": "1346413200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3810 CENTRAL AVE",
"city": "KEARNEY",
"state": "NE",
"postal_code": "688478134",
"telephone_number": "308-237-5951",
"fax_number": "308-234-4017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3810 CENTRAL AVE",
"city": "KEARNEY",
"state": "NE",
"postal_code": "688478134",
"telephone_number": "308-237-5951",
"fax_number": "308-234-4017"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEBER",
"first_name": "MARY",
"middle_name": "ANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-10",
"last_updated": "2008-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NE",
"license": "111",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "519",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kearney, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.