Organization Active NPI

Ted Kawa Child & Family Counseling PC

  • Clinical Social Worker
  • Grand Island, NE
National Provider Identifier
1710084223
Registry record updated Jul 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
TED KAWA CHILD & FAMILY COUNSELING PC
Practice address
1811 W 2ND Street
Suite 435
Grand Island, NE 68803-5413
Phone
(308) 389-6160
Fax
(308) 381-0658
NPI assigned
Sep 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2009

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

Authorized official

Name
Mr. Ted Kawa, LCSW
Title
President
Phone
(308) 389-6160

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1811 W 2ND Street
Suite 435
Grand Island, NE 68803-5413

Mailing address

1811 W 2ND Street
Suite 435
Grand Island, NE 68803-5413
Phone (308) 389-6160

Other identifiers 1

IdentifierTypeStateIssuer
10025283400MedicaidNE

National Provider Directory

National Provider Directory

Locations

1811 W 2nd St
Ste 435
Grand Island, NE 68803
Phone (308) 384-3138

1811 W 2nd St
Ste 420
Grand Island, NE 68803
Phone (308) 383-0569

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247011200000",
    "number": "1710084223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1811 W 2ND STREET",
            "address_2": "SUITE 435",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688035413",
            "telephone_number": "308-389-6160",
            "fax_number": "308-381-0658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 W 2ND STREET",
            "address_2": "SUITE 435",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688035413",
            "telephone_number": "308-389-6160",
            "fax_number": "308-381-0658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TED KAWA CHILD & FAMILY COUNSELING PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-19",
        "last_updated": "2009-07-08",
        "status": "A",
        "authorized_official_last_name": "KAWA",
        "authorized_official_first_name": "TED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "308-389-6160",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025283400",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Island, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2009; 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.