Provider Demographics
NPI:1306925342
Name:KNAPP, VIRGINIA L II (LMHP, CPC)
Entity type:Individual
Prefix:MRS
First Name:VIRGINIA
Middle Name:L
Last Name:KNAPP
Suffix:II
Gender:F
Credentials:LMHP, CPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:314 S 14TH ST STE 104
Mailing Address - Street 2:
Mailing Address - City:ORD
Mailing Address - State:NE
Mailing Address - Zip Code:68862-1754
Mailing Address - Country:US
Mailing Address - Phone:308-728-3558
Mailing Address - Fax:308-728-3551
Practice Address - Street 1:314 S 14TH ST STE 104
Practice Address - Street 2:
Practice Address - City:ORD
Practice Address - State:NE
Practice Address - Zip Code:68862-1754
Practice Address - Country:US
Practice Address - Phone:308-728-3558
Practice Address - Fax:308-728-3551
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1220-LMHP 828-CPC101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE84573OtherBCBS
NE47-0758510-26Medicaid