KATIE LEE BACON MA MASTER OF ARTS NPI 1073652111

NPI Information

NPI: 1073652111
Provider Name: KATIE LEE BACON, MA MASTER OF ARTS
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
7501 O ST
SUITE 100
LINCOLN, NE
ZIP 68510
Phone: (402) 477-0651
Get Directions

Katie Lee Bacon, MA MASTER OF ARTS is a mental health counselor in Lincoln, NE. Katie Lee Bacon, MA MASTER OF ARTS NPI is 1073652111. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

7501 O ST
SUITE 100
LINCOLN, NE
ZIP 68510-485
Phone: (402) 477-0651
Fax: (402) 477-0332

The enumeration date for this NPI number is 2/5/2007 and was last updated on 12/8/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	1721	NEBRASKA	No
2	101YM0800X	Counselor	Mental Health	3399	NEBRASKA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	96065	OTHER	NEBRASKA	BCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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