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NPI Code Detail

MEDICARE: KIMBERLY ELLENBERGER LIMHP

MEDICARE:   KIMBERLY  ELLENBERGER  LIMHP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor2861NE
2101YM0800XMental Health Counselor5712NE

General Provider Information

NPI Number : 1366092157
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLY ELLENBERGER LIMHP
Provider Business Mailing Address
First Line : 859 4TH ST
Second Line :
City : MEADOW GROVE
State : NE
Zip : 68752-4006
Country : US
Telephone Number : 402-841-5376
Fax Number :
Provider Business Practice Location Address
First Line : 1306 N 13TH ST
Second Line :
City : NORFOLK
State : NE
Zip : 68701-2591
Country : US
Telephone Number : 402-841-6631
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/13/2019
Last Update Date : 04/29/2026

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Directions to “ KIMBERLY ELLENBERGER LIMHP” Practice Location

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