Organization Active NPI

Kristine R Pratt, LLC

  • Mental Health Counselor
  • Elkhorn, NE
National Provider Identifier
1730812652
Registry record updated Jul 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
KRISTINE R PRATT, LLC
Practice address
3401 N 191St Ave
Elkhorn, NE 68022-3350
Phone
(402) 915-8900
Fax
(402) 979-9897
NPI assigned
Jul 7, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2022

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

Authorized official

Name
Mrs. Kristine Robinson Pratt, MS, LIMHP, CMFTNPI 1649469818
Title
Owner
Phone
(402) 885-0940

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

3401 N 191St Ave
Elkhorn, NE 68022-3350

Mailing address

3401 N 191St Ave
Elkhorn, NE 68022-3350
Phone (402) 915-8900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260319004044 NE Part B Supplier - Clinic/Group Practice 2466936133 Receives reassigned benefits from 1 practitioner
Practice locations: Elkhorn, NE

National Provider Directory

National Provider Directory

Locations

3401 N 191st Ave
Elkhorn, NE 68022
Phone (402) 909-2787

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": "1657152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657152000000",
    "number": "1730812652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 N 191ST AVE",
            "city": "ELKHORN",
            "state": "NE",
            "postal_code": "680223350",
            "telephone_number": "402-915-8900",
            "fax_number": "402-979-9897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 N 191ST AVE",
            "city": "ELKHORN",
            "state": "NE",
            "postal_code": "680223350",
            "telephone_number": "402-915-8900",
            "fax_number": "402-979-9897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTINE R PRATT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-07",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "status": "A",
        "authorized_official_last_name": "PRATT",
        "authorized_official_first_name": "KRISTINE",
        "authorized_official_middle_name": "ROBINSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-885-0940",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS, LIMHP, CMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkhorn, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.