Kidwise, P.C.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

1174 Issued in NE

Legal business name

KIDWISE, P.C.

Practice address

8101 O St Ste 214
Lincoln, NE 68510-2647

Phone

(402) 488-1032

Fax

(402) 484-8545

NPI assigned

Apr 18, 2016

Organization subpart

No

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

Authorized official

Name

Tina Schneckloth

Title

Billing Specialist

Phone

(402) 504-4680

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1460937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460937600000",
    "number": "1477907269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8101 O ST STE 214",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685102647",
            "telephone_number": "402-488-1032",
            "fax_number": "402-484-8545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8101 O ST STE 214",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685102647",
            "telephone_number": "402-488-1032",
            "fax_number": "402-484-8545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDWISE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-18",
        "last_updated": "2016-04-18",
        "status": "A",
        "authorized_official_last_name": "SCHNECKLOTH",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "BILLING SPECIALIST",
        "authorized_official_telephone_number": "402-504-4680"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "1174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Faysal Hasan Khudir
• Wisal Khurmish
• Minjoo Ki
• Markie Kidd
• Kids First Therapy Nebraska LLC
• Janelle Kiefel
• Heather Kiefer, PHD
• Kimberly Kieler
• Ameil Mayan Kieu
• Thien Minh Kieu, APRN

• Mental Health Counselor in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Mental Health Counselor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2016; 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.