Active NPI
Paul K Kincs, M. A.
- Counselor
- Lincoln, NE
National Provider Identifier
1902016546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 3213
- Practice address
- 4545 S 86TH St
Lincoln, NE 68526-9227 - Phone
- (402) 483-6990
- Fax
- (402) 483-7045
- NPI assigned
- May 23, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 3213 | NE | Primary |
Addresses
Primary practice location
4545 S 86TH St
Lincoln, NE 68526-9227
Mailing address
4545 South 86TH Street
Lincoln, NE 68526
Phone (402) 483-6990
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 470798717-26 | Medicaid | NE | |
| 470798717-27 | Medicaid | NE |
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
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3213 | NE | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1902016546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4545 SOUTH 86TH STREET",
"city": "LINCOLN",
"state": "NE",
"postal_code": "68526",
"telephone_number": "402-483-6990",
"fax_number": "402-483-7045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4545 S 86TH ST",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685269227",
"telephone_number": "402-483-6990",
"fax_number": "402-483-7045"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KINCS",
"first_name": "PAUL",
"middle_name": "K",
"credential": "M. A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-23",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NE",
"license": "3213",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "470798717-26",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "470798717-27",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.