Provider Demographics
NPI:1679230064
Name:KC COUNSELING
Entity Type:Organization
Organization Name:KC COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:KRISTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAMNESS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:308-380-5719
Mailing Address - Street 1:312 N ELM ST STE 115
Mailing Address - Street 2:
Mailing Address - City:GRAND ISLAND
Mailing Address - State:NE
Mailing Address - Zip Code:68801-4509
Mailing Address - Country:US
Mailing Address - Phone:308-380-5719
Mailing Address - Fax:308-508-2370
Practice Address - Street 1:312 N ELM ST STE 115
Practice Address - Street 2:
Practice Address - City:GRAND ISLAND
Practice Address - State:NE
Practice Address - Zip Code:68801-4509
Practice Address - Country:US
Practice Address - Phone:308-380-5719
Practice Address - Fax:308-508-2370
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-21
Last Update Date:2022-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)Group - Single Specialty