NPIMap

Organization Active NPI

Inkblots Counseling LLC

  • Psychologist
  • Norfolk, NE
National Provider Identifier
1467823260
Registry record updated Oct 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
604 Issued in NE
Legal business name
INKBLOTS COUNSELING LLC
Practice address
208 N 5TH St Ste C
Norfolk, NE 68701-4155
Phone
(402) 640-4779
Fax
(402) 564-7735
NPI assigned
Oct 19, 2015
Last updated
Oct 19, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2015

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

Authorized official

Name
Dr. John Gerrit Laskowski, PSY.D.NPI 1699731174
Title
Owner/Operator
Phone
(402) 640-4779

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 604 NE Primary

Addresses

Primary practice location

208 N 5TH St Ste C
Norfolk, NE 68701-4155

Mailing address

208 N 5TH St Ste C
Norfolk, NE 68701-4155
Phone (402) 640-4779

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1445212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445212800000",
    "number": "1467823260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 N 5TH ST STE C",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687014155",
            "telephone_number": "402-640-4779",
            "fax_number": "402-564-7735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 N 5TH ST STE C",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687014155",
            "telephone_number": "402-640-4779",
            "fax_number": "402-564-7735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INKBLOTS COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-19",
        "last_updated": "2015-10-19",
        "status": "A",
        "authorized_official_last_name": "LASKOWSKI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "GERRIT",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "402-640-4779",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "NE",
            "license": "604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.