Organization Active NPI

Guethlein Psychological Services LLC

  • Mental Health Counselor
  • North Platte, NE
National Provider Identifier
1508265802
Registry record updated Aug 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
497 Issued in NE
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

Updated by the provider on Aug 22, 2014

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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
10026071100MedicaidNE

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.