Provider Demographics
NPI:1760425946
Name:BEYER, KARA M
Entity Type:Individual
Prefix:
First Name:KARA
Middle Name:M
Last Name:BEYER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:KARA
Other - Middle Name:M
Other - Last Name:DEGROFF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1406 VETERANS DR STE 205
Mailing Address - Street 2:
Mailing Address - City:ELKHORN
Mailing Address - State:NE
Mailing Address - Zip Code:68022-7021
Mailing Address - Country:US
Mailing Address - Phone:402-707-4899
Mailing Address - Fax:
Practice Address - Street 1:1406 VETERANS DR STE 205
Practice Address - Street 2:
Practice Address - City:ELKHORN
Practice Address - State:NE
Practice Address - Zip Code:68022-7021
Practice Address - Country:US
Practice Address - Phone:402-707-4899
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-14
Last Update Date:2020-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE11641041C0700X
NE849101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE47037660631Medicaid
NE47037660631Medicaid
NE10026079100Medicaid