Kearney Counseling Associates LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

35 Issued in NE

Legal business name

KEARNEY COUNSELING ASSOCIATES LLC

Practice address

2811 30TH Ave
Kearney, NE 68845-4036

Phone

(308) 237-6865

Fax

(308) 236-7698

NPI assigned

Feb 14, 2014

Organization subpart

Yes

Parent organization

MARV CROUCH COUNSELING SERVICES LLCAs reported in NPPES

Name

Mr. Marvin Ora Crouch, LIMHP, LADCNPI 1407930944

Title

Owner

Phone

(308) 237-6865

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

• Marvin Ora Crouch, L.I.M.H.P., L.A.D.C.

  • Mental Health Counselor
  • Kearney, NE
  • NPI 1407930944

  Addiction (Substance Use Disorder), NE

  Medicare reassignment Care Compare group NPD Authorized official
• Karla Crane, LIMHP

  • Mental Health Counselor
  • Kearney, NE
  • NPI 1700519592

  Addiction (Substance Use Disorder), NE

  Medicare reassignment Care Compare group NPD
• Lisa Follmer, PLMHP

  • Mental Health Counselor
  • Kearney, NE
  • NPI 1295372191

  Mental Health, NE

  Medicare reassignment Care Compare group NPD
• Brett Lee Fries, LIMHP

  • Mental Health Counselor
  • Kearney, NE
  • NPI 1679996342

  Mental Health, NE

  Medicare reassignment Care Compare group NPD
• Christiana Colling, MSED, LIMHP

  • Mental Health Counselor
  • Kearney, NE
  • NPI 1467008326

  Mental Health, NE

  Medicare reassignment NPD
• Robyn Springer, PLMHP, PLADC

  • Mental Health Counselor
  • Kearney, NE
  • NPI 1073406658

  Addiction (Substance Use Disorder)

  NPD (past)

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 22, 2023.

{
    "created_epoch": "1392336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695340800000",
    "number": "1811311665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2811 30TH AVE",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688454036",
            "telephone_number": "308-237-6865",
            "fax_number": "308-236-7698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2811 30TH AVE",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688454036",
            "telephone_number": "308-237-6865",
            "fax_number": "308-236-7698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEARNEY COUNSELING ASSOCIATES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARV CROUCH COUNSELING SERVICES LLC",
        "enumeration_date": "2014-02-14",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-22",
        "status": "A",
        "authorized_official_last_name": "CROUCH",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_middle_name": "ORA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "308-237-6865",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LIMHP, LADC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NE",
            "license": "296",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "35",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Kearney, NE
• Mental Health Counselor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2023; 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.