Healthcare Provider Details

I. General information

NPI: 1801651682
Provider Name (Legal Business Name): NEBRASKA PANHANDLE COUNSELING CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/20/2024
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

112 S CHESTNUT
KIMBALL NE
69145
US

IV. Provider business mailing address

1430 WILKINS CIR
CASPER WY
82601-1336
US

V. Phone/Fax

Practice location:
  • Phone: 308-624-4237
  • Fax:
Mailing address:
  • Phone: 307-237-9583
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: JIM COWSER
Title or Position: CHIEF EXECUTIVE OFFICER
Credential: LCSW, MCAP
Phone: 307-237-9583