Healthcare Provider Details

I. General information

NPI: 1902229149
Provider Name (Legal Business Name): EMILY MERTENS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/23/2014
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

124 W 46TH ST STE 207
KEARNEY NE
68847-8348
US

IV. Provider business mailing address

124 W 46TH ST STE 207
KEARNEY NE
68847-8348
US

V. Phone/Fax

Practice location:
  • Phone: 308-270-4988
  • Fax: 308-888-6674
Mailing address:
  • Phone: 308-270-4988
  • Fax: 308-888-6674

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number4640
License Number StateNE
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberP-1889
License Number StateNE
# 3
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number1546
License Number StateNE
# 4
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number169
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: