Healthcare Provider Details

I. General information

NPI: 1306566187
Provider Name (Legal Business Name): NEKITA NICOLE POWELL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2022
Last Update Date: 02/26/2026
Certification Date: 02/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1113 SHERMAN ST
SAINT PAUL NE
68873-1546
US

IV. Provider business mailing address

PO BOX 406
SAINT PAUL NE
68873-0406
US

V. Phone/Fax

Practice location:
  • Phone: 308-754-4421
  • Fax:
Mailing address:
  • Phone: 308-754-4421
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number3933
License Number StateNE
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number2382
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: