Kelsey Dawn Watchorn, PLIMHP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

13299 Issued in NE

Practice address

1000 Pole Creek Xing
Sidney, NE 69162-2901

Phone

(308) 254-8736

NPI assigned

Apr 3, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cheyenne County Hospital Association IncGroup PAC ID 1658345657, 48 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cheyenne County Hospital Association Inc

  • Critical Access Hospital
  • Sidney, NE
  • NPI 1487736963
  Medicare reassignment Care Compare group NPD
• Cheyenne County Hospital Association

  • Specialty Pharmacy
  • Sidney, NE
  • NPI 1558077396
  NPD

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

{
    "created_epoch": "1712102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712102400000",
    "number": "1902658826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 POLE CREEK XING",
            "city": "SIDNEY",
            "state": "NE",
            "postal_code": "691622901",
            "telephone_number": "308-254-8736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 POLE CREEK XING",
            "city": "SIDNEY",
            "state": "NE",
            "postal_code": "691622901",
            "telephone_number": "308-254-8736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATCHORN",
        "first_name": "KELSEY",
        "middle_name": "DAWN",
        "credential": "PLIMHP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-03",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "13299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walmart Inc.
• Aubrey Waln
• Benjamin Walston
• Kayla Ward
• Susan Ward
• Christina Weaver-Tucker
• Michelle Weegens
• Michelle Lynn Weimer, P.T.
• Alicia Louise Weinbender
• Alisha Jane Wells

• Mental Health Counselor in Sidney, NE
• Providers in Sidney, NE by specialty
• Mental Health Counselor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.