Healthcare Provider Details

I. General information

NPI: 1255254637
Provider Name (Legal Business Name): CARRIE ROBERTS COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 08/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2105 W J ST
MC COOK NE
69001-3062
US

IV. Provider business mailing address

38184 ROAD 720
MC COOK NE
69001-7291
US

V. Phone/Fax

Practice location:
  • Phone: 402-937-8740
  • Fax:
Mailing address:
  • Phone: 402-937-8740
  • 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: CARRIE M ROBERTS
Title or Position: OWER
Credential: LIMHP, LCSW
Phone: 402-937-8740