Healthcare Provider Details

I. General information

NPI: 1144117664
Provider Name (Legal Business Name): KATHLEEN CARSTEN CHAPIN PLMHP, PCMSW
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/18/2025
Last Update Date: 06/18/2025
Certification Date: 06/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8101 O ST STE 214
LINCOLN NE
68510-2647
US

IV. Provider business mailing address

3011 S 14TH ST
LINCOLN NE
68502-4529
US

V. Phone/Fax

Practice location:
  • Phone: 402-309-9776
  • Fax:
Mailing address:
  • Phone: 402-309-9776
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: