Provider Demographics
NPI:1215098652
Name:RING, KATHY SUE (PLMHP LADC ICDC MS)
Entity type:Individual
Prefix:MRS
First Name:KATHY
Middle Name:SUE
Last Name:RING
Suffix:
Gender:F
Credentials:PLMHP LADC ICDC MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1653
Mailing Address - Street 2:1364 25TH AVE
Mailing Address - City:COLUMBUS
Mailing Address - State:NE
Mailing Address - Zip Code:68602-1653
Mailing Address - Country:US
Mailing Address - Phone:402-613-3008
Mailing Address - Fax:877-900-6511
Practice Address - Street 1:1364 25TH AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:NE
Practice Address - Zip Code:68601-4910
Practice Address - Country:US
Practice Address - Phone:402-613-3008
Practice Address - Fax:877-900-6511
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-12
Last Update Date:2013-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE532101YA0400X
ICADC23252101YA0400X
NE8619101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE7830346OtherAETNA
NE253938OtherMIDLANDS CHOICE
NE85501OtherBCBS