SANDRA COOK-FONG NPI 1669883724

NPI Information

NPI: 1669883724
Provider Name: SANDRA COOK-FONG
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

PECOS Registration: Yes

Address:
3710 CENTRAL AVE STE 9
KEARNEY, NE
ZIP 68847
Phone: (308) 251-2222
Get Directions

Sandra Cook-fong is a mental health counselor in Kearney, NE. Sandra Cook-fong NPI is 1669883724. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3710 CENTRAL AVE STE 9
KEARNEY, NE
ZIP 68847-126
Phone: (308) 251-2222
Fax: (308) 382-5315

The NPI 1669883724 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 5/12/2014 and was last updated on 6/12/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1041C0700X	Social Worker	Clinical	560	NEBRASKA	No
2	101YM0800X	Counselor	Mental Health	953	NEBRASKA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	10025173100	MEDICAID	NEBRASKA
2	10026194400	MEDICAID	NEBRASKA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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