| Frontier House Day Rehab | |
|
114 South Chestnut North Platt NE 69103 | |
| (305) 532-4730 | |
| (308) 532-4737 |
| Full Name | Frontier House Day Rehab |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 114 South Chestnut, North Platt, Nebraska |
| Authorized Official Name and Position | Kathy Seacrest (ADMINISTRATOR) |
| Authorized Official Contact | 3085340440 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Frontier House Day Rehab Po Box 1209 114 South Chestnut North Platt NE 69103 Ph: (305) 532-4730 | Frontier House Day Rehab 114 South Chestnut North Platt NE 69103 Ph: (305) 532-4730 |
| NPI Number | 1558657155 |
|---|---|
| Provider Enumeration Date | 06/22/2011 |
| Last Update Date | 06/22/2011 |
| Medicare PECOS PAC ID | 0143280651 |
|---|---|
| Medicare Enrollment ID | O20041018001156 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558657155 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 71 (Nebraska) | Primary |
| Provider Name | Carrie Miranda Roberts |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518999002 PECOS PAC ID: 9335107853 Enrollment ID: I20041229000809 |
| Provider Name | Leslie Marie Pieper |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902990849 PECOS PAC ID: 9234154063 Enrollment ID: I20051011000854 |
| Provider Name | Jill M Skinner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184799512 PECOS PAC ID: 2567526452 Enrollment ID: I20090121000264 |
| Provider Name | Kathryn A Batson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538272513 PECOS PAC ID: 7618010430 Enrollment ID: I20100202000658 |
| Provider Name | Tamara Rae Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992739890 PECOS PAC ID: 7618905704 Enrollment ID: I20100917000525 |
| Provider Name | Christy D Davis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740783885 PECOS PAC ID: 9032579800 Enrollment ID: I20230712003288 |
| Provider Name | Teresa Ward |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184656589 PECOS PAC ID: 5799134755 Enrollment ID: I20231215001783 |
| Provider Name | Brooke N Titus |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366970915 PECOS PAC ID: 6406205616 Enrollment ID: I20240110001253 |
| Provider Name | Richard R Pendleton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821143512 PECOS PAC ID: 4385097104 Enrollment ID: I20240129002258 |
| Provider Name | Bridget R Pettit |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659394641 PECOS PAC ID: 5890148506 Enrollment ID: I20240130001174 |
| Provider Name | Rebecca L Durner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1255656278 PECOS PAC ID: 5890148522 Enrollment ID: I20240130001633 |
| Provider Name | Mary Tidyman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861793085 PECOS PAC ID: 4587017199 Enrollment ID: I20240131001066 |
| Provider Name | Marsha Wilkison |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790717288 PECOS PAC ID: 3072966688 Enrollment ID: I20240131001231 |
| Provider Name | Rosie M Anderson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750630828 PECOS PAC ID: 2769835388 Enrollment ID: I20240131001397 |
| Provider Name | Kyle J Brandyberry |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235674334 PECOS PAC ID: 6204279458 Enrollment ID: I20240205003857 |
| Provider Name | Judi L Smith |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881378479 PECOS PAC ID: 3476996620 Enrollment ID: I20240205003884 |
| Provider Name | April Hendon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710500467 PECOS PAC ID: 1759724719 Enrollment ID: I20240206003939 |
| Provider Name | Crayton C Jirovsky |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1205121134 PECOS PAC ID: 8123463130 Enrollment ID: I20240229002627 |