Active NPI
Debra Combs Kelley
- Adolescent and Children Mental Health Clinic/Center
- McCook, NE
National Provider Identifier
1568092351
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adolescent and Children Mental Health Clinic/Center
- Legal business name
- DEBRA COMBS KELLEY
- Practice address
- 1531 Norris Ave
MC Cook, NE 69001-2126 - Phone
- (402) 873-8191
- NPI assigned
- Jan 21, 2020
- Last updated
- Jan 23, 2020
- 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
- Debra Combs Kelley, LMSW, LMHP
- Title
- Therapist
- Phone
- (402) 873-8191
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | Primary |
Addresses
Primary practice location
1531 Norris Ave
MC Cook, NE 69001-2126
Mailing address
1531 Norris Ave
MC Cook, NE 69001-2126
Phone (402) 873-8191
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Clinical Social Worker
- McCook, NE
- NPI 1982243564
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579564800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1579737600000",
"number": "1568092351",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1531 NORRIS AVE",
"city": "MC COOK",
"state": "NE",
"postal_code": "690012126",
"telephone_number": "402-873-8191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1531 NORRIS AVE",
"city": "MC COOK",
"state": "NE",
"postal_code": "690012126",
"telephone_number": "402-873-8191"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DEBRA COMBS KELLEY",
"organizational_subpart": "NO",
"enumeration_date": "2020-01-21",
"last_updated": "2020-01-23",
"certification_date": "2020-01-23",
"status": "A",
"authorized_official_last_name": "KELLEY",
"authorized_official_first_name": "DEBRA",
"authorized_official_middle_name": "COMBS",
"authorized_official_title_or_position": "THERAPIST",
"authorized_official_telephone_number": "402-873-8191",
"authorized_official_credential": "LMSW, LMHP"
},
"taxonomies": [
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in McCook, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.