Individual provider Active NPI

Kristi Dawn Moser, PLMHP

  • Mental Health Counselor
  • Lincoln, NE
National Provider Identifier
1003564766
Registry record updated Mar 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
12849 Issued in NE
Practice address
4316 S 48TH St
Lincoln, NE 68516-1287
Phone
(531) 224-4347
NPI assigned
Mar 12, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 12849 NE Primary

Addresses

Primary practice location

4316 S 48TH St
Lincoln, NE 68516-1287

Mailing address

11907 W Panama Rd
Crete, NE 68333-3357
Phone (402) 580-1701

Other names 1

  • Kristi Dawn Lemke Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250102001797 NE Practitioner - Mental Health Counselor 0042747131 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12849NEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
New Vision Counseling, LLC CurrentSince Dec 1, 2024 Accepting new patients

Locations

4316 S 48th St
Ste 1
Lincoln, NE 68516
Phone (402) 991-8093

4316 S 48th St
Lincoln, NE 68516
Phone (402) 580-1701

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/whmtrmc-a1081629

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1647043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647043200000",
    "number": "1003564766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11907 W PANAMA RD",
            "city": "CRETE",
            "state": "NE",
            "postal_code": "683333357",
            "telephone_number": "402-580-1701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4316 S 48TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685161287",
            "telephone_number": "531-224-4347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSER",
        "first_name": "KRISTI",
        "middle_name": "DAWN",
        "credential": "PLMHP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-12",
        "last_updated": "2022-03-12",
        "certification_date": "2022-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "12849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTI",
            "last_name": "LEMKE",
            "middle_name": "DAWN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.