Active NPI
Connie A Harmon
- Mental Health Counselor
- Beatrice, NE
National Provider Identifier
1699865634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 156
- Practice address
- 1123 N 9TH St
Blue Valley Behavioral Health
Beatrice, NE 68310-2041 - Phone
- (402) 228-3386
- Fax
- (402) 228-2004
- NPI assigned
- Oct 13, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 156 | NE | Primary |
| Mental Health Counselor | 101YM0800X | 499 | NE | |
| Clinical Social Worker | 1041C0700X | CMSW68 | NE |
Addresses
Primary practice location
1123 N 9TH St
Blue Valley Behavioral Health
Beatrice, NE 68310-2041
Mailing address
2309 Grant St
Beatrice, NE 68310
Phone (402) 228-4455
Other identifiers 18
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 47052851509 | Medicaid | NE | |
| 47052851581 | Medicaid | NE | |
| 47052851505 | Medicaid | NE | |
| 47052851515 | Medicaid | NE | |
| 47052851500 | Medicaid | NE | |
| 47052851506 | Medicaid | NE | |
| 47052851508 | Medicaid | NE | |
| 47052851513 | Medicaid | NE | |
| 47052851514 | Medicaid | NE | |
| 47052851507 | Medicaid | NE | |
| 8349 | Other | MIDLANDS CHOICE | |
| 47052851501 | Medicaid | NE | |
| 47052851517 | Medicaid | NE | |
| 57052851504 | Medicaid | NE | |
| 82118 | Other | BCBS | |
| 47052851502 | Medicaid | NE | |
| 47052851503 | Medicaid | NE | |
| 57052851510 | Medicaid | NE |
Other names 1
- Connie L Austin
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CMSW68 | NE | MD | Clinical Social Worker |
| 499 | NE | MD | Peer Specialist |
| 156 | NE | MD | Anatomic Pathology & Clinical Pathology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279584000000",
"number": "1699865634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2309 GRANT ST",
"city": "BEATRICE",
"state": "NE",
"postal_code": "68310",
"telephone_number": "402-228-4455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1123 N 9TH ST",
"address_2": "BLUE VALLEY BEHAVIORAL HEALTH",
"city": "BEATRICE",
"state": "NE",
"postal_code": "683102041",
"telephone_number": "402-228-3386",
"fax_number": "402-228-2004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARMON",
"first_name": "CONNIE",
"middle_name": "A",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-13",
"last_updated": "2010-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "156",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "499",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NE",
"license": "CMSW68",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47052851509",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47052851581",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47052851505",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47052851515",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47052851500",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47052851506",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47052851508",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47052851513",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47052851514",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47052851507",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MIDLANDS CHOICE",
"identifier": "8349",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47052851501",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47052851517",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "57052851504",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "82118",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47052851502",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47052851503",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "57052851510",
"state": "NE"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CONNIE",
"last_name": "AUSTIN",
"middle_name": "L",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Beatrice, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.