SOUTH CENTRAL BEHAVIORAL SERVICES (NPI# 1962652958) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962652958 |
| Entity Type | Organization |
| Organization Name | SOUTH CENTRAL BEHAVIORAL SERVICES |
| Practice Address |
4111 4th Ave Ste 2 Kearney NE 68845-2883 |
| Mailing Address |
3800 Central Avenue Kearney NE 68847 |
| Practice Telephone | 3086980535 |
| Mailing Telephone | 3082375951 |
| Mailing Fax Number | 3082344018 |
| Enumeration Date | 2008-09-25 |
| Last Update Date | 2014-03-04 |
| Authorized Official Name | DEB VAVRA (ADMINISTRATIVE COORD) |
| Authorized Official Telephone | 3082375951 |
| Is Organization Subpart | Y |
| Parent Organization Name | SOUTH CENTRAL BEHAVIORAL SERVICES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 100256716-00 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801060678 | South Central Behavioral Services | Clinic/Center | 2701 Central Ave, Kearney, NE 68847-4549 | 2008-04-14 |
| 1316033400 | South Central Behavioral Services | Clinic/Center | 1136 Washington, Hastings, NE 68901 | 2006-10-05 |
| 1508952698 | South Central Behavioral Services | Clinic/Center | 616 West 5th Street, Hastings, NE 68901 | 2006-10-05 |
| 1730271537 | South Central Behavioral Services | Clinic/Center | 701 4th Avenue, Suite 11a, Holdrege, NE 68949 | 2006-09-29 |
| 1104918903 | South Central Behavioral Services | Clinic/Center | 3810 Central Avenue, Kearney, NE 68847 | 2006-09-29 |
| 1780776583 | South Central Behavioral Services | Clinic/Center | 520 East 10th Street, Broadstone Memorial Hospital, Superior, NE 68978 | 2006-09-29 |
| 1295827095 | South Central Behavioral Services | Clinic/Center | 724 South Burlington, Hastings, NE 68901 | 2006-09-29 |
| 1508289455 | South Central Behavioral Services | Community/Behavioral Health | 724 S Burlington Ave, Hastings, NE 68901-5913 | 2014-01-29 |
| 1740427459 | South Central Behavioral Services | Clinic/Center | 3810 Central Ave, Kearney, NE 68847 | 2009-01-16 |
| 1922259100 | South Central Behavioral Services | Clinic/Center | 4111 4th Ave, Kearney, NE 68845-2878 | 2008-10-06 |
| Street Address |
4111 4TH AVE STE 2 |
| City | KEARNEY |
| State | NE |
| Zip Code | 68845-2883 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316030448 | Denise M. Sammons | Family Medicine | 4111 4th Ave Ste 2, Kearney, NE 68845-2883 | 2006-10-02 |
| 1851908453 | Krystal Mae Wright | Peer Specialist | 4111 4th Ave Ste 2, Kearney, NE 68845-2883 | 2020-09-28 |
| 1023631124 | Terrill Jacobsen | Peer Specialist | 4111 4th Ave Ste 2, Kearney, NE 68845-2883 | 2020-05-22 |
| 1861015950 | April L Picard | Peer Specialist | 4111 4th Ave Ste 2, Kearney, NE 68845-2883 | 2020-05-22 |
| 1972126076 | Jennifer Schutz | Peer Specialist | 4111 4th Ave Ste 2, Kearney, NE 68845-2883 | 2020-05-22 |
| 1811510910 | Rebekah Wells | Peer Specialist | 4111 4th Ave Ste 2, Kearney, NE 68845-2883 | 2020-05-22 |
| 1922591486 | Brittni Waters | Peer Specialist | 4111 4th Ave Ste 2, Kearney, NE 68845-2883 | 2018-06-10 |
| 1841783305 | Melissa Walker | Peer Specialist | 4111 4th Ave Ste 2, Kearney, NE 68845-2883 | 2018-06-10 |
| 1659864114 | Starla Henderson | Peer Specialist | 4111 4th Ave Ste 2, Kearney, NE 68845-2883 | 2018-06-10 |
| 1316430853 | Angie Vieyra | Peer Specialist | 4111 4th Ave Ste 2, Kearney, NE 68845-2883 | 2018-06-09 |
| Find all providers in the same location | ||||
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|---|---|---|---|---|
| 1407465966 | Prairie Meadows Dental, PC | Clinic/Center | 1055 West 56th Street, Kearney, NE 68845 | 2020-07-30 |
| 1508408584 | Sandhills Oral & Facial Surgery LLC | Clinic/Center | 504 W 42nd Street, Kearney, NE 68845 | 2019-10-11 |
| 1699252395 | Lindustries, LLC | Clinic/Center | 4107 7th Avenue, Kearney, NE 68845 | 2018-07-25 |
| 1154846764 | Michele Ekberg | Speech-Language Pathologist | 76 Plaza Boulevard, Kearney, NE 68845 | 2017-08-04 |
| 1457721706 | Lesa Clifford | Speech-Language Pathologist | 4125 Summitt Rd, Kearney, NE 68845 | 2015-09-30 |
| 1154703353 | Andrew Michael Prososki | Family Medicine | 2403 West 47 Street Place, Kearney, NE 68845 | 2015-06-24 |
| 1710395561 | Justin Rethorst | Specialist/Technologist | 2810 West 35th St, Kearney, NE 68845 | 2014-07-24 |
| 1265877567 | Kearney Regional Medical Center LLC | General Acute Care Hospital | 804 22nd Avenue, Kearney, NE 68845 | 2013-05-01 |
| 1386906972 | Terry L. Dunlop | Counselor | 2315 W. 39th St., Suite 109, Kearney, NE 68845 | 2012-06-11 |
| 1437431913 | Sarah Winfield Thibault | Counselor | 3532 West Capital Ave, Grand Island, NE 68845 | 2011-09-12 |
| Find all providers in zip 68845 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972169944 | Hope, Health, & Balance Counseling LLC | Clinic/Center | 2424 W 24th St Ste 2, Kearney, NE 68845-4949 | 2019-05-15 |
| 1902395924 | Bryce Riessland Counseling LLC | Clinic/Center | 124 W 46th St Ste 105, Kearney, NE 68847-8348 | 2018-05-04 |
| 1104918903 | South Central Behavioral Services | Clinic/Center | 3810 Central Avenue, Kearney, NE 68847 | 2006-09-29 |
| 1518478817 | Maxson Counseling and Consulting LLC | Clinic/Center | 3710 Central Ave Ste 9, Kearney, NE 68847-8126 | 2017-10-13 |
| 1093150047 | Gary Potter Counseling LLC | Clinic/Center | 2811 30th Ave, Kearney, NE 68845-4036 | 2013-05-03 |
| 1467779330 | Kearney Neuropsychological Services, PC | Clinic/Center | 4111 4th Ave Ste 32, Kearney, NE 68845-2884 | 2010-04-30 |
| 1740427459 | South Central Behavioral Services | Clinic/Center | 3810 Central Ave, Kearney, NE 68847 | 2009-01-16 |
| 1922259100 | South Central Behavioral Services | Clinic/Center | 4111 4th Ave, Kearney, NE 68845-2878 | 2008-10-06 |
| 1659531572 | South Central Behavioral Services | Clinic/Center | 3810 Central Ave, Kearney, NE 68847-8134 | 2008-06-13 |
| 1588834626 | South Central Behavioral Services | Clinic/Center | 3810 Central Ave, Kearney, NE 68847-8134 | 2008-03-05 |
| Find all providers in KEARNEY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.