Individual provider Active NPI

Branislava Knezevic, PH.D., LMHP

  • Mental Health Counselor
  • Norfolk, NE
National Provider Identifier
1851720080
Registry record updated Apr 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
4115 Issued in NE
Practice address
1310 N 13TH St
Unit 4
Norfolk, NE 68701-2592
Phone
(712) 253-1687
NPI assigned
Nov 7, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 4115 NE Primary

Addresses

Primary practice location

1310 N 13TH St
Unit 4
Norfolk, NE 68701-2592

Mailing address

1310 N 13TH St
Unit 4
Norfolk, NE 68701-2592
Phone (712) 253-1687

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)
Not enrolled
Credentials
Doctor of Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1383782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398038400000",
    "number": "1851720080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 N 13TH ST",
            "address_2": "UNIT 4",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687012592",
            "telephone_number": "712-253-1687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 N 13TH ST",
            "address_2": "UNIT 4",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687012592",
            "telephone_number": "712-253-1687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNEZEVIC",
        "first_name": "BRANISLAVA",
        "name_prefix": "Dr.",
        "credential": "PH.D., LMHP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-07",
        "last_updated": "2014-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "4115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2014; 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.