NPIMap

Organization Active NPI

KVC Behavioral Healthcare Nebraska, Inc

Doing business as KVC Nebraska

  • Community/Behavioral Health Agency
  • Omaha, NE
National Provider Identifier
1912235458
Registry record updated Mar 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
KVC BEHAVIORAL HEALTHCARE NEBRASKA, INC
Doing business as
KVC Nebraska
Practice address
11550 I St Ste 100
Omaha, NE 68137-1222
Phone
(402) 498-4700
Fax
(402) 493-3340
NPI assigned
Nov 20, 2009
Last updated
Mar 25, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2021

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

Authorized official

Name
Mrs. Ashley Dawn Brown
Title
President
Phone
(402) 498-4700

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X NU
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

11550 I St Ste 100
Omaha, NE 68137-1222

Mailing address

11550 I St Ste 100
Omaha, NE 68137-1222
Phone (402) 498-4700

Other practice location 1

10909 Mill Valley Rd
Suite 100
Omaha, NE 68154-3985
Phone (402) 301-1086

Other identifiers 1

IdentifierTypeStateIssuer
10025836700MedicaidNE

Other names 1

  • KVC Nebraska Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 28

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1258675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616630400000",
    "number": "1912235458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11550 I ST STE 100",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681371222",
            "telephone_number": "402-498-4700",
            "fax_number": "402-493-3340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11550 I ST STE 100",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681371222",
            "telephone_number": "402-498-4700",
            "fax_number": "402-493-3340"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10909 Mill Valley Rd",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681543985",
            "country_code": "US",
            "telephone_number": "402-301-1086",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KVC BEHAVIORAL HEALTHCARE NEBRASKA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-20",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-25",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-498-4700",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025836700",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KVC Nebraska",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2021; 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.