NPI 1104922699 · live from the CMS NPI Registry
Kimberly A Massara, LIMHP
Counselor, Mental Health in Bellevue, NE. National Provider Identifier 1104922699, active.
NPI record
| NPI | 1104922699 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Counselor, Mental Health 101YM0800X |
| Practice location | 730 Fort Crook Rd N, Bellevue, NE 68005 |
| Practice phone | 402-292-9105 |
| Mailing address | 124 S 24th St, Suite 230, Omaha, NE 68102 |
| Enumerated | September 15, 2006 |
| Last updated | October 23, 2008 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Marriage & Family Therapist | 106H00000X | 1838 (NE) |
| Counselor, Mental Health primary | 101YM0800X | 291 (NE) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.