Active NPI
Stephanie Cobb Kinney, LIMHP
- Counselor
- Hastings, NE
National Provider Identifier
1396758439
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 1664
- Practice address
- 440 N Minnesota Ave
Hastings, NE 68901-5254 - Phone
- (402) 469-3885
- Fax
- (866) 567-9221
- NPI assigned
- Aug 13, 2006
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 1664 | NE | Primary |
| Marriage & Family Therapist | 106H00000X | 89 | NE |
Addresses
Primary practice location
440 N Minnesota Ave
Hastings, NE 68901-5254
Mailing address
440 N Minnesota Ave
Hastings, NE 68901-5254
Phone (402) 469-3885
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10026074200 | Medicaid | NE |
Other names 1
- Stephanie Cobb Lau
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 |
|---|---|---|---|
| 89 | NE | MD | Audiologist |
| 1664 | NE | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifeworks Wellness, P.C. | Marriage & Family Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Counselor
- Hastings, NE
- NPI 1992049852
Marriage & Family Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1353024000000",
"number": "1396758439",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "440 N MINNESOTA AVE",
"city": "HASTINGS",
"state": "NE",
"postal_code": "689015254",
"telephone_number": "402-469-3885",
"fax_number": "866-567-9221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "440 N MINNESOTA AVE",
"city": "HASTINGS",
"state": "NE",
"postal_code": "689015254",
"telephone_number": "402-469-3885",
"fax_number": "866-567-9221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COBB KINNEY",
"first_name": "STEPHANIE",
"credential": "LIMHP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-13",
"last_updated": "2012-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NE",
"license": "1664",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NE",
"license": "89",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10026074200",
"state": "NE"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "STEPHANIE",
"last_name": "COBB LAU",
"credential": "CMFT",
"code": "1",
"type": "Former Name"
}
]
}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 Nov 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.