# MR. KENNETH JAMES MAUSBACH

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1124271523
- **Gender:** Man
- **Credential:** MS

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | 2498 | NE | — |
| 1041C0700X | Clinical Social Worker | 1055 | NE | Yes |

## Other

- **Enumeration date:** 10/29/2008
- **Last updated:** 11/20/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 10025734000 | — | NE |
| 01 | — | 249035 | MIDLANDS INSURANCE | NE |
| 01 | — | 456304000 | MAGELLAN | NE |
| 05 | — | 47075636926 | — | NE |
| 05 | — | 47075636930 | — | NE |
| 05 | — | 47075636998 | — | NE |
| 01 | — | 82144 | NE BLUE CROSS & BLUE SHEILD | NE |