Provider Demographics
NPI:1699190645
Name:KOLBE, JUSTINA MARIE (LMHP, CPC)
Entity type:Individual
Prefix:
First Name:JUSTINA
Middle Name:MARIE
Last Name:KOLBE
Suffix:
Gender:F
Credentials:LMHP, CPC
Other - Prefix:
Other - First Name:JUSTINA
Other - Middle Name:MARIE
Other - Last Name:FIELDSEND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMHP, CPC
Mailing Address - Street 1:21406 LINCOLN BLVD
Mailing Address - Street 2:
Mailing Address - City:GRETNA
Mailing Address - State:NE
Mailing Address - Zip Code:68028-6944
Mailing Address - Country:US
Mailing Address - Phone:605-870-0181
Mailing Address - Fax:
Practice Address - Street 1:11414 W CENTER RD
Practice Address - Street 2:SUITE 300
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68144-4486
Practice Address - Country:US
Practice Address - Phone:402-932-2296
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-02-27
Last Update Date:2014-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE4363101YM0800X
NE2120101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional