Affinity Therapy Associates LLC

Organization Active NPI Mental Health Counselor · Chadron, NE

NPI 1386715654 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1386715654
Entity type
Organization (NPI type 2)
Primary specialty
Mental Health Counselor 101YM0800X
Legal business name
AFFINITY THERAPY ASSOCIATES LLC
Practice address
327 Ann Street
Chadron, NE 69337
Phone
(308) 432-6910
Fax
(308) 432-8467
NPI assigned
Nov 10, 2006
Organization subpart
No

Authorized official

Name
Nikki D Kilgore
Title
Office Manager
Phone
(308) 432-6910

Practitioners 5

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NE

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20240516000348 NE Part B Supplier - Clinic/Group Practice 3476994831 Receives reassigned benefits from 1 practitioner
Practice locations: Chadron, NE

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor
Group: 193400000X SINGLE SPECIALTY GROUP
101YM0800X Yes

Addresses

Primary practice location

327 Ann Street
Chadron, NE 69337

Mailing address

327 Ann Street
Chadron, NE 69337
Phone (308) 432-6910

Other providers in Chadron, NE

All providers in Chadron, NE · Mental Health Counselor in Nebraska

Sources for this page

Verify at the official NPI Registry.