Provider Demographics
NPI:1851664288
Name:NEW DIMENSIONS COUNSELING
Entity Type:Organization
Organization Name:NEW DIMENSIONS COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROPRIETOR, THERAPIST, SUPERVISOR
Authorized Official - Prefix:DR
Authorized Official - First Name:BEVERLY
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:PATITZ
Authorized Official - Suffix:
Authorized Official - Credentials:LIMHP, LADC, CPC
Authorized Official - Phone:402-519-0159
Mailing Address - Street 1:223 E 14TH ST STE 220
Mailing Address - Street 2:
Mailing Address - City:HASTINGS
Mailing Address - State:NE
Mailing Address - Zip Code:68901-3255
Mailing Address - Country:US
Mailing Address - Phone:402-519-0159
Mailing Address - Fax:402-463-9169
Practice Address - Street 1:223 E 14TH ST STE 220
Practice Address - Street 2:
Practice Address - City:HASTINGS
Practice Address - State:NE
Practice Address - Zip Code:68901-3255
Practice Address - Country:US
Practice Address - Phone:402-519-0159
Practice Address - Fax:402-463-9169
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-15
Last Update Date:2012-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE945101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE100250399Medicaid
NE588458000OtherMAGELLAN