Provider Demographics
NPI:1417074287
Name:INROADS COUNSELING SERVICES PC
Entity Type:Organization
Organization Name:INROADS COUNSELING SERVICES PC
Other - Org Name:INROADS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:C
Authorized Official - Last Name:KAMINSKI
Authorized Official - Suffix:
Authorized Official - Credentials:MS NCC LIMHP LPC
Authorized Official - Phone:402-932-2248
Mailing Address - Street 1:2808 NO 75TH ST
Mailing Address - Street 2:SUITE H
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68134-6861
Mailing Address - Country:US
Mailing Address - Phone:402-932-2248
Mailing Address - Fax:402-932-3557
Practice Address - Street 1:2808 NO 75TH ST
Practice Address - Street 2:SUITE H
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68134-6861
Practice Address - Country:US
Practice Address - Phone:402-932-2248
Practice Address - Fax:402-932-3557
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-24
Last Update Date:2008-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE099774Medicare ID - Type UnspecifiedMEDICARE