Individual provider Active NPI

Kristine Robinson Pratt, MS, LIMHP, CMFT

  • Mental Health Counselor
  • Elkhorn, NE
National Provider Identifier
1649469818
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
4590 Issued in NE
Practice address
3401 N 191St Ave
Elkhorn, NE 68022-3350
Phone
(402) 915-8900
Fax
(402) 979-9897
NPI assigned
Oct 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 165 NE
Mental Health Counselor 101YM0800X 4590 NE Primary

Addresses

Primary practice location

3401 N 191St Ave
Elkhorn, NE 68022-3350

Mailing address

3401 N 191St Ave
Elkhorn, NE 68022-3350
Phone (402) 915-8900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260331004164 NE Practitioner - Mental Health Counselor 3375027048 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2006
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3401 N 191St Ave
Elkhorn, NE 68022-3350

4760 S 198TH St
Omaha, NE 68135-3705

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
4590NEMDMental Health Counselor
165NEMDDevelopmental - Behavioral Pediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kristine R Pratt, LLC Mental Health Current Accepting new patients

Locations

3401 N 191st Ave
Elkhorn, NE 68022
Phone (402) 909-2787

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1193097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1649469818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 N 191ST AVE",
            "city": "ELKHORN",
            "state": "NE",
            "postal_code": "680223350",
            "telephone_number": "402-915-8900",
            "fax_number": "402-979-9897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 N 191ST AVE",
            "city": "ELKHORN",
            "state": "NE",
            "postal_code": "680223350",
            "telephone_number": "402-915-8900",
            "fax_number": "402-979-9897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRATT",
        "first_name": "KRISTINE",
        "middle_name": "ROBINSON",
        "name_prefix": "Mrs.",
        "credential": "MS, LIMHP, CMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-23",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NE",
            "license": "165",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "4590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkhorn, NE

Sources for this page

Verify at the official NPI Registry.