Individual provider Active NPI

Kimberly Pratt

  • Counselor
  • Omaha, NE
National Provider Identifier
1447892971
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
11917 Issued in NE
Practice address
11711 Arbor St Ste 215
Omaha, NE 68144-2975
Phone
(402) 674-0774
Fax
(402) 414-4876
NPI assigned
Oct 16, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 11917 NE Primary

Addresses

Primary practice location

11711 Arbor St Ste 215
Omaha, NE 68144-2975

Mailing address

3725 Austin Bluffs Pkwy
Colorado Springs, CO 80918-6628

Other practice location 1

102 S Tejon St Ste 1100
Colorado Springs, CO 80903-2253
Phone (402) 674-0774

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250709001844 NE Practitioner - Mental Health Counselor 9335653625 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11917NEMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Haven Point LLC CurrentSince Apr 10, 2025 Accepting new patients
Thriving Futures LLC PastSince Nov 13, 2024 Accepting new patients

Locations

6311 Ames Ave
Omaha, NE 68104
Phone (402) 953-4240

11711 Arbor St
Ste 215
Omaha, NE 68144
Phone (402) 370-9147

11711 Arbor St
Ste 240H
Omaha, NE 68144
Phone (402) 674-0774

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1571184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1447892971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3725 AUSTIN BLUFFS PKWY",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809186628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11711 ARBOR ST STE 215",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681442975",
            "telephone_number": "402-674-0774",
            "fax_number": "402-414-4876"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "102 S Tejon St Ste 1100",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809032253",
            "country_code": "US",
            "telephone_number": "402-674-0774",
            "fax_number": "402-414-4876",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRATT",
        "first_name": "KIMBERLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-16",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NE",
            "license": "11917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.