Organization Active NPI

Kroll Counseling LLC

  • Mental Health Counselor
  • Holdrege, NE
National Provider Identifier
1770070401
Registry record updated Apr 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
KROLL COUNSELING LLC
Practice address
413 East Ave
Holdrege, NE 68949-2216
Phone
(308) 995-6548
Fax
(308) 995-6555
NPI assigned
Apr 18, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2018

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

Authorized official

Name
Mrs. Faithe L Kroll, LIMHP, LADC
Title
Clinical Therapist
Phone
(308) 995-6548

Specialties & licenses 1

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

Addresses

Primary practice location

413 East Ave
Holdrege, NE 68949-2216

Mailing address

413 East Ave.
P.O. Box 466
Holdrege, NE 68949-2216
Phone (308) 995-6548

Other identifiers 1

IdentifierTypeStateIssuer
10026721600MedicaidNE

National Provider Directory

National Provider Directory

Locations

413 East Ave
Holdrege, NE 68949
Phone (308) 995-6548

NPI Registry JSON

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

{
    "created_epoch": "1524009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524009600000",
    "number": "1770070401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 EAST AVE.",
            "address_2": "P.O. BOX 466",
            "city": "HOLDREGE",
            "state": "NE",
            "postal_code": "689492216",
            "telephone_number": "308-995-6548",
            "fax_number": "308-995-6555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 EAST AVE",
            "city": "HOLDREGE",
            "state": "NE",
            "postal_code": "689492216",
            "telephone_number": "308-995-6548",
            "fax_number": "308-995-6555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KROLL COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-18",
        "last_updated": "2018-04-18",
        "status": "A",
        "authorized_official_last_name": "KROLL",
        "authorized_official_first_name": "FAITHE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CLINICAL THERAPIST",
        "authorized_official_telephone_number": "308-995-6548",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LIMHP, LADC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026721600",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Holdrege, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2018; 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.