Provider Demographics
NPI:1629555107
Name:BETTY KITTY LOUANN ASWEGAN
Entity Type:Organization
Organization Name:BETTY KITTY LOUANN ASWEGAN
Other - Org Name:NEBRASKA COUNSELING ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:BETTY
Authorized Official - Middle Name:L
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LIMHP, LADC
Authorized Official - Phone:308-440-8054
Mailing Address - Street 1:PO BOX 1328
Mailing Address - Street 2:
Mailing Address - City:KEARNEY
Mailing Address - State:NE
Mailing Address - Zip Code:68848-1328
Mailing Address - Country:US
Mailing Address - Phone:308-440-8054
Mailing Address - Fax:308-234-6604
Practice Address - Street 1:916 AVENUE F
Practice Address - Street 2:
Practice Address - City:GOTHENBURG
Practice Address - State:NE
Practice Address - Zip Code:69138-2060
Practice Address - Country:US
Practice Address - Phone:308-440-8054
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-26
Last Update Date:2024-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE305101YA0400X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10025822800Medicaid
NE100250649-00Medicaid
NE100251310-00Medicaid
NE10025823000Medicaid
NE10025822900Medicaid
NE100251311-00Medicaid