Kimberly Gene Krajewski Clark, PMSW PLMHP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

PLMHP8596 Issued in NE

Practice address

6720 N 30TH St
Heartland Family Service
Omaha, NE 68112

Phone

(402) 451-6244

Fax

(402) 455-1064

NPI assigned

May 1, 2008

Last updated

May 1, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1209600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209600000000",
    "number": "1619143591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4522 N 152 STREET",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "68116",
            "telephone_number": "402-214-1015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6720 N 30TH ST",
            "address_2": "HEARTLAND FAMILY SERVICE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "68112",
            "telephone_number": "402-451-6244",
            "fax_number": "402-455-1064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAJEWSKI CLARK",
        "first_name": "KIMBERLY",
        "middle_name": "GENE",
        "credential": "PMSW PLMHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-01",
        "last_updated": "2008-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "PLMHP8596",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NE",
            "license": "PMSW6632",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Kraft
• Robert Glen Kraft, PH.D.
• Karen M Krager, DDS
• James Anthony Krahling, PA-C
• Analisa Dyan Krahmer
• Abigail Krajewski
• Alexa Krajewski, PA-C
• Callie R Krajicek, DDS
• Kristina Alexis Krajicek, PAC
• Renee Paullette Krajicek

• Mental Health Counselor in Omaha, NE
• Providers in Omaha, NE by specialty
• Mental Health Counselor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.

Verify at the official NPI Registry.