Individual provider Active NPI

Justina Marie Kolbe, LMHP, CPC

  • Mental Health Counselor
  • Omaha, NE
National Provider Identifier
1699190645
Registry record updated Feb 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
4363 Issued in NE
Practice address
11414 W Center Rd
Suite 300
Omaha, NE 68144-4486
Phone
(402) 932-2296
NPI assigned
Feb 27, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 4363 NE Primary
Professional Counselor 101YP2500X 2120 NE

Addresses

Primary practice location

11414 W Center Rd
Suite 300
Omaha, NE 68144-4486

Mailing address

21406 Lincoln Blvd
Gretna, NE 68028-6944
Phone (605) 870-0181

Other names 1

  • Justina Marie Fieldsend Former name

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
4363NEMDMental Health Counselor
2120NEMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1393459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393459200000",
    "number": "1699190645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21406 LINCOLN BLVD",
            "city": "GRETNA",
            "state": "NE",
            "postal_code": "680286944",
            "telephone_number": "605-870-0181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11414 W CENTER RD",
            "address_2": "SUITE 300",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681444486",
            "telephone_number": "402-932-2296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLBE",
        "first_name": "JUSTINA",
        "middle_name": "MARIE",
        "credential": "LMHP, CPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-27",
        "last_updated": "2014-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "4363",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NE",
            "license": "2120",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUSTINA",
            "last_name": "FIELDSEND",
            "middle_name": "MARIE",
            "credential": "LMHP, CPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2014; 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.