Active NPI
Timothy P Hurley, MAC, PLMHP
- Counselor
- Grand Island, NE
National Provider Identifier
1962914549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 11055
- Practice address
- 1811 W 2ND St Ste 420
Grand Island, NE 68803-5468 - Phone
- (402) 910-2636
- NPI assigned
- Nov 3, 2017
- Sex
- Male
- Sole proprietor
- Yes
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 | 11055 | NE | Primary |
Addresses
Primary practice location
1811 W 2ND St Ste 420
Grand Island, NE 68803-5468
Mailing address
2220 Viking Rd
Grand Island, NE 68803-2249
Phone (402) 910-2636
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11055 | Other | NE | PROVISIONAL LICENSED MENTAL HEALTH PRACTITIONER |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11055 | NE | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1509667200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1509667200000",
"number": "1962914549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2220 VIKING RD",
"city": "GRAND ISLAND",
"state": "NE",
"postal_code": "688032249",
"telephone_number": "402-910-2636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1811 W 2ND ST STE 420",
"city": "GRAND ISLAND",
"state": "NE",
"postal_code": "688035468",
"telephone_number": "402-910-2636"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HURLEY",
"first_name": "TIMOTHY",
"middle_name": "P",
"credential": "MAC, PLMHP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-11-03",
"last_updated": "2017-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NE",
"license": "11055",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVISIONAL LICENSED MENTAL HEALTH PRACTITIONER",
"identifier": "11055",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Grand Island, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.