Trey Kissack Counseling

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

TREY KISSACK COUNSELING

Doing business as

Trey Kissack Counseling

Practice address

1811 W 2ND St Ste 450
Grand Island, NE 68803-5473

Phone

(308) 850-8862

NPI assigned

Feb 23, 2024

Organization subpart

No

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

Authorized official

Name

Trey Kissack, PLMHPNPI 1417617911

Title

Mental Health Practicitioner

Phone

(308) 850-8862

Specialties & licenses 1

Addresses

Other names 1

• Trey Kissack Counseling Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Trey A Kissack

  • Community/Behavioral Health Agency
  • Grand Island, NE
  • NPI 1417617911
  NPD Authorized official

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

{
    "created_epoch": "1708646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708646400000",
    "number": "1629834015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1811 W 2ND ST",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688035413",
            "telephone_number": "308-850-8862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 W 2ND ST STE 450",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688035473",
            "telephone_number": "308-850-8862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREY KISSACK COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-23",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-23",
        "status": "A",
        "authorized_official_last_name": "KISSACK",
        "authorized_official_first_name": "TREY",
        "authorized_official_title_or_position": "MENTAL HEALTH PRACTICITIONER",
        "authorized_official_telephone_number": "308-850-8862",
        "authorized_official_credential": "PLMHP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trey Kissack Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kelsey Trausch, APRN
• Shayla Trausch, PLMHP
• Richard Charles Treadway Sr., PA-C
• Maria Trejo Guerrero
• Lauren Trejo
• Brooke Lee Trimble, MS,RD,LMNT
• Jackson Trompke
• Kelly Trotter
• Calie Troyer
• Christie Lynn Trumbull

• Mental Health Clinic/Center (Including Community Mental Health Center) in Grand Island, NE
• Providers in Grand Island, NE by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2024; 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.