Individual
KEVIN EVERETT FITZMAURICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S.
Contact information
Practice address
3323 N 109TH PLZ, OMAHA, NE 68164-2908
(402) 573-7277
(402) 573-7360
Mailing address
3323 N 109TH PLZ, OMAHA, NE 68164-2908
(402) 573-7277
(402) 573-7360
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
00050
IA
101YM0800X
Mental Health Counselor
Primary
745
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00050
LICENSED MENTAL HEALTH
IA
05
—
10025178600
—
NE
01
—
33408
CCMHC
NE
01
—
745
MENTAL HEALTH PRACTITIONE
NE
01
—
800
CERTIFIED PROFESSIONAL CO
NE
Enumeration date
07/17/2006
Last updated
07/09/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us