Provider Demographics
NPI:1528065281
Name:ZUPANCIC, KATHERINE L (MA, LMHP, CPC, CP)
Entity type:Individual
Prefix:MS
First Name:KATHERINE
Middle Name:L
Last Name:ZUPANCIC
Suffix:
Gender:F
Credentials:MA, LMHP, CPC, CP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 S 13TH ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68508-2537
Mailing Address - Country:US
Mailing Address - Phone:402-476-3002
Mailing Address - Fax:402-476-3002
Practice Address - Street 1:301 S 13TH ST
Practice Address - Street 2:SUITE 200
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68508-2537
Practice Address - Country:US
Practice Address - Phone:402-476-3002
Practice Address - Fax:402-476-3002
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE401101YM0800X
NE397101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE84413OtherBCBS
NE91174752526Medicaid
NE84413OtherBCBS