Individual provider Active NPI

Kevin Patrick Karmazin, BA

  • Mental Health Counselor
  • Lincoln, NE
National Provider Identifier
1578852299
Registry record updated Apr 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
171M00000X Issued in NE
Practice address
2201 S 17TH St
Lincoln, NE 68502-3713
Phone
(402) 441-7940
Fax
(402) 441-8625
NPI assigned
Apr 4, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 171M00000X NE Primary

Addresses

Primary practice location

2201 S 17TH St
Lincoln, NE 68502-3713

Mailing address

2201 S 17TH St
Lincoln, NE 68502-3713
Phone (402) 441-7940

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Bachelor of Arts

State licenses

LicenseStateTypeSpecialty
171M00000XNEMDCase Manager/Care Coordinator

NPI Registry JSON

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

{
    "created_epoch": "1301875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301875200000",
    "number": "1578852299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 S 17TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685023713",
            "telephone_number": "402-441-7940",
            "fax_number": "402-441-8625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 S 17TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685023713",
            "telephone_number": "402-441-7940",
            "fax_number": "402-441-8625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARMAZIN",
        "first_name": "KEVIN",
        "middle_name": "PATRICK",
        "credential": "BA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-04",
        "last_updated": "2011-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "171M00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2011; 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.