JACOB XAVIER CHAVEZ PLMHP
NPI 1699901025
Counselor - Mental Health in Kearney, NE
Active since May 29, 2009
About Jacob Xavier Chavez Plmhp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACOB XAVIER CHAVEZ PLMHP (NPI 1699901025) is an individual mental health provider in Kearney, Nebraska, licensed in Nebraska (8819) and active in the NPI registry since May 2009.
NPPES Registry Identity
NPI1699901025
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJACOB XAVIER CHAVEZCredential: PLMHP
Location Address2041 E 56TH STKearney, NE 68847-4179
Mailing Address1553 O RdMinden, NE 68959-6723 · (308) 293-7720
Phone(308) 236-7145
Sole ProprietorNo
Enumeration DateMay 29, 2009
✔ NPI 1699901025 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NE · 8819
2041 E 56TH ST, Kearney, NE 68847
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Community Based Residential Treatment Facility, Mental Illness
2041 E 56TH ST
KEARNEY, NE 68847
KEARNEY, NE 68847
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1699901025, enumerated as an "individual" on May 29, 2009.
The provider is located at 2041 E 56TH ST KEARNEY, NE 68847 and the phone number is (308) 236-7145.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.