Healthcare Provider Details

I. General information

NPI: 1679388847
Provider Name (Legal Business Name): KATHRYN BENISH PLMHP, PLADC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/12/2025
Last Update Date: 12/24/2025
Certification Date: 12/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

941 8TH AVE
SIDNEY NE
69162-1736
US

IV. Provider business mailing address

941 8TH AVE
SIDNEY NE
69162-1736
US

V. Phone/Fax

Practice location:
  • Phone: 402-915-3388
  • Fax:
Mailing address:
  • Phone: 402-915-3388
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberP-2293
License Number StateNE
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number14696
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: