Provider Demographics
NPI:1497830632
Name:HAMPTON, BETTY ELAINE (LIMHP, LADC, CCGC)
Entity Type:Individual
Prefix:MRS
First Name:BETTY
Middle Name:ELAINE
Last Name:HAMPTON
Suffix:
Gender:F
Credentials:LIMHP, LADC, CCGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:316 E DOUGLAS ST
Mailing Address - Street 2:
Mailing Address - City:ONEILL
Mailing Address - State:NE
Mailing Address - Zip Code:68763-1830
Mailing Address - Country:US
Mailing Address - Phone:402-336-3200
Mailing Address - Fax:402-336-3219
Practice Address - Street 1:316 E DOUGLAS ST
Practice Address - Street 2:
Practice Address - City:ONEILL
Practice Address - State:NE
Practice Address - Zip Code:68763-1830
Practice Address - Country:US
Practice Address - Phone:402-336-3200
Practice Address - Fax:402-336-3219
Is Sole Proprietor?:No
Enumeration Date:2006-10-26
Last Update Date:2009-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE769101Y00000X
NE585101YA0400X
NE1091101YM0800X
NE588101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10025292300Medicaid
NE10025739400Medicaid