Provider Demographics
NPI:1508093097
Name:KINDSCHUH, ROBERT JOHN JR (MSE, LIMHP, CPC,LADC)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:JOHN
Last Name:KINDSCHUH
Suffix:JR
Gender:M
Credentials:MSE, LIMHP, CPC,LADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:135 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WEST POINT
Mailing Address - State:NE
Mailing Address - Zip Code:68788-1417
Mailing Address - Country:US
Mailing Address - Phone:402-372-4991
Mailing Address - Fax:402-372-4992
Practice Address - Street 1:135 N MAIN ST
Practice Address - Street 2:
Practice Address - City:WEST POINT
Practice Address - State:NE
Practice Address - Zip Code:68788-1417
Practice Address - Country:US
Practice Address - Phone:402-372-4991
Practice Address - Fax:402-372-4992
Is Sole Proprietor?:No
Enumeration Date:2009-06-11
Last Update Date:2015-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE835101YA0400X
NE3526101YM0800X
NE649101YM0800X
NE1771101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10026113200Medicaid