Cynthia Lee Kissack, M.S.ED.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

615 N Elm St
Grand Island, NE 68801-4254

Phone

(308) 395-1044

Fax

(308) 395-1060

NPI assigned

Jan 22, 2008

Last updated

Jan 22, 2008By the provider in NPPES

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, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cynthia Kissack Counseling

  • Community/Behavioral Health Agency
  • Grand Island, NE
  • NPI 1730070160
  NPD Authorized official
• Mid-Plains Center for Behavioral Healthcare Services, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Grand Island, NE
  • NPI 1801131495
  NPD (past)

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

{
    "created_epoch": "1200960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200960000000",
    "number": "1912184912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 N ELM ST",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688014254",
            "telephone_number": "308-395-1044",
            "fax_number": "308-395-1060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 N ELM ST",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688014254",
            "telephone_number": "308-395-1044",
            "fax_number": "308-395-1060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KISSACK",
        "first_name": "CYNTHIA",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "M.S.ED.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-22",
        "last_updated": "2008-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lanette M Kinne, SLP
• Amanda Kinney
• Breanna Kirby
• Amanda Kirkland, LPN
• Jacob Thomas Kirkpatrick, CPO
• Richard Lee Kissack
• Trey A Kissack
• Ben Wayne Kistler, RPH
• Melissa Kjar, PT
• Derek James Kleier, PA-C

• Mental Health Counselor in Grand Island, NE
• Providers in Grand Island, 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 Jan 22, 2008; 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.