MEDICARE: KATIE WHITEFOOT M.A., PLMHP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	9864	NE
2	101Y00000X	Counselor	4560	NE

General Provider Information

NPI Number	:	1164765152
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATIE WHITEFOOT M.A., PLMHP

Provider Business Mailing Address
First Line	:	1401 W FOREMAN DR
Second Line	:
City	:	LINCOLN
State	:	NE
Zip	:	68523-7213
Country	:	US
Telephone Number	:	402-617-7406
Fax Number	:

Provider Business Practice Location Address
First Line	:	1401 W FOREMAN DR
Second Line	:
City	:	LINCOLN
State	:	NE
Zip	:	68523-7213
Country	:	US
Telephone Number	:	402-617-7406
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/28/2013
Last Update Date	:	07/19/2025

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