Individual provider Active NPI

John Dutton, LIMHP

  • Mental Health Counselor
  • Kearney, NE
National Provider Identifier
1689911307
Registry record updated May 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2173 Issued in NE
Practice address
4111 4TH Ave
Suite 32
Kearney, NE 68845-2878
Phone
(308) 234-6029
Fax
(308) 237-4792
NPI assigned
Jan 15, 2013
Last updated
May 15, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Mental Health Counselor 101YM0800X 9849 NE
Mental Health Counselor 101YM0800X 2173 NE Primary

Addresses

Primary practice location

4111 4TH Ave
Suite 32
Kearney, NE 68845-2878

Mailing address

4111 4TH Ave
Suite 32
Kearney, NE 68845-2878
Phone (308) 234-6029

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

State licenses

LicenseStateTypeSpecialty
2173NEMDMental Health Counselor
9849NEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Hope, Health, & Balance Counseling LLC Current Accepting new patients
Compass Mental Health Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1358208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557878400000",
    "number": "1689911307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4111 4TH AVE",
            "address_2": "SUITE 32",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688452878",
            "telephone_number": "308-234-6029",
            "fax_number": "308-237-4792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4111 4TH AVE",
            "address_2": "SUITE 32",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688452878",
            "telephone_number": "308-234-6029",
            "fax_number": "308-237-4792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUTTON",
        "first_name": "JOHN",
        "credential": "LIMHP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-01-15",
        "last_updated": "2019-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "9849",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "2173",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 15, 2019; 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.