Provider Demographics
NPI:1689034936
Name:MAKING CHOICES COUNSELING
Entity Type:Organization
Organization Name:MAKING CHOICES COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:KIT
Authorized Official - Middle Name:KARL
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:LADC, PLMHP
Authorized Official - Phone:308-234-2119
Mailing Address - Street 1:2222 2ND AVE # 16
Mailing Address - Street 2:SUITE 400
Mailing Address - City:KEARNEY
Mailing Address - State:NE
Mailing Address - Zip Code:68847-5354
Mailing Address - Country:US
Mailing Address - Phone:308-234-2119
Mailing Address - Fax:308-234-2122
Practice Address - Street 1:2222 2ND AVE # 16
Practice Address - Street 2:SUITE 400
Practice Address - City:KEARNEY
Practice Address - State:NE
Practice Address - Zip Code:68847-5354
Practice Address - Country:US
Practice Address - Phone:308-234-2119
Practice Address - Fax:308-234-2122
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-29
Last Update Date:2016-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE921101YA0400X
NE10676101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty