Individual provider Active NPI

Connie A Harmon

  • Mental Health Counselor
  • Beatrice, NE
National Provider Identifier
1699865634
Registry record updated Jul 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
156 Issued in NE
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
Last updated
Jul 20, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2010

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 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 names 1

  • Connie L Austin 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)
Enrolled

State licenses

LicenseStateTypeSpecialty
156NEMDAddiction (Substance Use Disorder) Counselor
CMSW68NEMDClinical Social Worker
499NEMDPeer Specialist

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": [],
    "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.

Verify at the official NPI Registry.