NPIMap

Organization Active NPI

Prairie Counseling

  • Mental Health Counselor
  • Grand Island, NE
National Provider Identifier
1609931468
Registry record updated Aug 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
102 Issued in NE
Legal business name
PRAIRIE COUNSELING
Practice address
207 N Pine St
Ste. 106
Grand Island, NE 68801-5900
Phone
(308) 382-8604
Fax
(308) 382-8604
NPI assigned
Dec 22, 2006
Last updated
Aug 5, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2011

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

Authorized official

Name
Mrs. Carole Lynn Denton, LIMHPNPI 1114928017
Title
Licensed Independent Mental Health
Phone
(308) 379-0806

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)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 102 NE Primary

Addresses

Primary practice location

207 N Pine St
Ste. 106
Grand Island, NE 68801-5900

Mailing address

1513 Stagecoach Rd
Grand Island, NE 68801-7376
Phone (308) 379-0806

Other identifiers 1

IdentifierTypeStateIssuer
100258569-00MedicaidNE

Other names 1

  • Prairie Institute of Psychology Former legal business name

National Provider Directory

National Provider Directory

Locations

207 N Pine St
Ste 106
Grand Island, NE 68801
Phone (308) 382-8604

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312502400000",
    "number": "1609931468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1513 STAGECOACH RD",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688017376",
            "telephone_number": "308-379-0806",
            "fax_number": "308-382-8604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 N PINE ST",
            "address_2": "STE. 106",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688015900",
            "telephone_number": "308-382-8604",
            "fax_number": "308-382-8604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAIRIE COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-22",
        "last_updated": "2011-08-05",
        "status": "A",
        "authorized_official_last_name": "DENTON",
        "authorized_official_first_name": "CAROLE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "LICENSED INDEPENDENT MENTAL HEALTH",
        "authorized_official_telephone_number": "308-379-0806",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LIMHP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100258569-00",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prairie Institute of Psychology",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Grand Island, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.