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TREY A KISSACK
NPI 1417617911
Community/Behavioral Health in Grand Island, NE

Active since December 23, 2021
1811 W. 2ND STREET,, SUITE 450, GRAND ISLAND, NE 68803(308) 379-8619(308) 675-2690 Get Directions Write a Review

NPPES record last updated: December 23, 2021. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Trey A Kissack NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TREY A KISSACK (NPI 1417617911) is an individual community/behavioral health provider in Grand Island, Nebraska and active in the NPI registry since December 2021.

NPPES Registry Identity

NPI1417617911
Entity TypeIndividualMale
Primary Taxonomy251S00000X
Provider Legal NameTREY A KISSACK
Location Address1811 W. 2ND STREET,, SUITE 450Grand Island, NE 68803-5473
Mailing Address1811 W. 2nd Street,, Suite 450Grand Island, NE 68803-5473 · (308) 379-8619 · Fax (308) 675-2690
Phone(308) 379-8619
Fax(308) 675-2690
Sole ProprietorYes
Enumeration DateDecember 23, 2021
NPPES CertifiedDecember 23, 2021
✔ NPI 1417617911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
1811 W. 2ND STREET,, Grand Island, NE 68803
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Trey Kissack's NPI number?

The NPI number for Trey Kissack is 1417617911. It was assigned to this individual provider in the NPPES registry on December 23, 2021.

Where is Trey Kissack located?

Trey Kissack practices at 1811 W. 2nd Street, Suite 450, Grand Island, NE 68803. The listed phone number is (308) 379-8619.

What is Trey Kissack's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

What insurance does Trey Kissack accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health and Ambetter from Sunflower Health Plan list Trey Kissack as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Trey Kissack was last updated on December 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.