Active NPI
Douglas J. Chamberlain, MS, PLMHP
- Mental Health Counselor
- Kearney, NE
National Provider Identifier
1598943433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- P8529
- Practice address
- 3720 Avenue a
Suite E
Kearney, NE 68847-8169 - Phone
- (308) 234-5644
- Fax
- (308) 234-5652
- NPI assigned
- Feb 1, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | P8529 | NE | Primary |
Addresses
Primary practice location
3720 Avenue a
Suite E
Kearney, NE 68847-8169
Mailing address
3720 Avenue a
Suite E
Kearney, NE 68847-8169
Phone (308) 234-5644
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 48080829226 | Medicaid | NE |
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
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P8529 | NE | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1228435200000",
"number": "1598943433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3720 AVENUE A",
"address_2": "SUITE E",
"city": "KEARNEY",
"state": "NE",
"postal_code": "688478169",
"telephone_number": "308-234-5644",
"fax_number": "308-234-5652"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3720 AVENUE A",
"address_2": "SUITE E",
"city": "KEARNEY",
"state": "NE",
"postal_code": "688478169",
"telephone_number": "308-234-5644",
"fax_number": "308-234-5652"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAMBERLAIN",
"first_name": "DOUGLAS",
"middle_name": "J.",
"credential": "MS, PLMHP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-02-01",
"last_updated": "2008-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "P8529",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "48080829226",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kearney, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.