Active NPI
Guethlein Psychological Services LLC
- Mental Health Counselor
- North Platte, NE
National Provider Identifier
1508265802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 497
- Legal business name
- GUETHLEIN PSYCHOLOGICAL SERVICES LLC
- Practice address
- 108 E 2ND St
North Platte, NE 69101-5430 - Phone
- (308) 534-8383
- Fax
- (308) 534-6570
- NPI assigned
- Aug 22, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kristen Corfield
- Title
- Billing Manager
- Phone
- (308) 534-8383
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 497 | NE | Primary |
Addresses
Primary practice location
108 E 2ND St
North Platte, NE 69101-5430
Mailing address
108 E 2ND St
North Platte, NE 69101-5430
Phone (308) 534-8383
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10026071100 | Medicaid | NE |
National Provider Directory
National Provider DirectoryLocations
108 E 2nd St
North Platte, NE 69101
Phone (308) 534-7170
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408665600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1408665600000",
"number": "1508265802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 E 2ND ST",
"city": "NORTH PLATTE",
"state": "NE",
"postal_code": "691015430",
"telephone_number": "308-534-8383",
"fax_number": "308-534-6570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 E 2ND ST",
"city": "NORTH PLATTE",
"state": "NE",
"postal_code": "691015430",
"telephone_number": "308-534-8383",
"fax_number": "308-534-6570"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GUETHLEIN PSYCHOLOGICAL SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-08-22",
"last_updated": "2014-08-22",
"status": "A",
"authorized_official_last_name": "CORFIELD",
"authorized_official_first_name": "KRISTEN",
"authorized_official_title_or_position": "BILLING MANAGER",
"authorized_official_telephone_number": "308-534-8383"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "497",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10026071100",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in North Platte, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.