MR. MARVIN ORA CROUCH (NPI# 1407930944) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407930944 |
| Entity Type | Individual |
| Full Name | MR. MARVIN ORA CROUCH |
| Credential | L.I.M.H.P., L.A.D.C. |
| Practice Address |
2811 30th Ave Kearney NE 68845-4036 |
| Mailing Address |
7450 W 29th St Kearney NE 68845-8808 |
| Practice Telephone | 3082376865 |
| Mailing Telephone | 3082341148 |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2014-02-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
296 | NE | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
35 | NE | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
621 | NE | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 100025152000 | 05 | |
| NE | 100025152100 | 05 |
| Street Address |
2811 30TH AVE |
| City | KEARNEY |
| State | NE |
| Zip Code | 68845-4036 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811969553 | Sherrilyn Denise Peterson | Counselor | 2811 30th Ave, Kearney, NE 68845-4036 | 2006-02-06 |
| 1518438795 | Michelle Hansen | Counselor | 2811 30th Ave, Kearney, NE 68845-4036 | 2018-12-16 |
| 1366956617 | Kim L Luttrell | Counselor | 2811 30th Ave, Kearney, NE 68845-4036 | 2017-11-24 |
| 1528476363 | Stepping Stones Psychological Services, LLC | Psychologist | 2811 30th Ave, Kearney, NE 68845-4036 | 2014-07-24 |
| 1942620323 | Lindsey Rae Wright | Counselor | 2811 30th Ave, Kearney, NE 68845-4036 | 2014-04-23 |
| 1588084149 | Lori M Tinkham | Counselor | 2811 30th Ave, Kearney, NE 68845-4036 | 2014-04-22 |
| 1447676978 | Wade Goodwin Counseling Services LLC | Counselor | 2811 30th Ave, Kearney, NE 68845-4036 | 2014-03-07 |
| 1811311665 | Kearney Counseling Associates LLC | Counselor | 2811 30th Ave, Kearney, NE 68845-4036 | 2014-02-14 |
| 1093150047 | Gary Potter Counseling LLC | Clinic/Center | 2811 30th Ave, Kearney, NE 68845-4036 | 2013-05-03 |
| 1144462540 | Wade Goodwin | Counselor | 2811 30th Ave, Kearney, NE 68845-4036 | 2009-03-31 |
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|---|---|---|---|---|
| 1407465966 | Prairie Meadows Dental, PC | Clinic/Center | 1055 West 56th Street, Kearney, NE 68845 | 2020-07-30 |
| 1508408584 | Sandhills Oral & Facial Surgery LLC | Clinic/Center | 504 W 42nd Street, Kearney, NE 68845 | 2019-10-11 |
| 1699252395 | Lindustries, LLC | Clinic/Center | 4107 7th Avenue, Kearney, NE 68845 | 2018-07-25 |
| 1154846764 | Michele Ekberg | Speech-Language Pathologist | 76 Plaza Boulevard, Kearney, NE 68845 | 2017-08-04 |
| 1457721706 | Lesa Clifford | Speech-Language Pathologist | 4125 Summitt Rd, Kearney, NE 68845 | 2015-09-30 |
| 1154703353 | Andrew Michael Prososki | Family Medicine | 2403 West 47 Street Place, Kearney, NE 68845 | 2015-06-24 |
| 1710395561 | Justin Rethorst | Specialist/Technologist | 2810 West 35th St, Kearney, NE 68845 | 2014-07-24 |
| 1265877567 | Kearney Regional Medical Center LLC | General Acute Care Hospital | 804 22nd Avenue, Kearney, NE 68845 | 2013-05-01 |
| 1386906972 | Terry L. Dunlop | Counselor | 2315 W. 39th St., Suite 109, Kearney, NE 68845 | 2012-06-11 |
| 1437431913 | Sarah Winfield Thibault | Counselor | 3532 West Capital Ave, Grand Island, NE 68845 | 2011-09-12 |
| Find all providers in zip 68845 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972136166 | Jen Myers Counseling Inc | Counselor | 124 W 46th St Ste 106, Kearney, NE 68847-8348 | 2020-02-17 |
| 1861036923 | E5counseling, LLC | Counselor | 2315 W 39th St Ste 113, Kearney, NE 68845-8327 | 2019-11-01 |
| 1477049351 | Margaret H Snyder | Counselor | 2303 13th Ave, Kearney, NE 68845-5032 | 2018-07-03 |
| 1891287959 | Olivia Frerichs | Counselor | 2315 W 39th St Unit 2, Kearney, NE 68845-8327 | 2018-06-05 |
| 1659892909 | Kayla Marie Schachta | Counselor | 4010 R Ave Apt E8, Kearney, NE 68847-2315 | 2017-06-27 |
| 1558800342 | Brandon Frerichs | Counselor | 2202 Central Ave Ste 12, Kearney, NE 68847-5359 | 2017-02-14 |
| 1447794219 | Family Network PC | Counselor | 415 W 33rd St, Kearney, NE 68845-3460 | 2016-12-13 |
| 1760818389 | Kiffany Ann Conner | Counselor | 1325 W 112th St, Kearney, NE 68845-1436 | 2013-09-16 |
| 1851640627 | Jeremy J Starzec | Counselor | 3709 Central Ave, Kearney, NE 68847-8131 | 2012-09-07 |
| 1386906972 | Terry L. Dunlop | Counselor | 2315 W. 39th St., Suite 109, Kearney, NE 68845 | 2012-06-11 |
| Find all providers in KEARNEY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.