Provider Demographics
NPI:1063697597
Name:BARRETT, KATHLEEN ANN (LMHP, LADC, ACRPS)
Entity type:Individual
Prefix:MS
First Name:KATHLEEN
Middle Name:ANN
Last Name:BARRETT
Suffix:
Gender:F
Credentials:LMHP, LADC, ACRPS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13319 COTTNER ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68137-1715
Mailing Address - Country:US
Mailing Address - Phone:402-896-8933
Mailing Address - Fax:402-896-0750
Practice Address - Street 1:13319 COTTNER ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68137-1715
Practice Address - Country:US
Practice Address - Phone:402-896-8933
Practice Address - Fax:402-896-0750
Is Sole Proprietor?:No
Enumeration Date:2008-01-03
Last Update Date:2008-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE136101YA0400X
NE353101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health