Active NPI
Diana M Meadors, LMHP
- Counselor
- Elkhorn, NE
National Provider Identifier
1003842568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 809
- Practice address
- 540 S 205TH St
Elkhorn, NE 68022-2141 - Phone
- (402) 601-1362
- NPI assigned
- Jun 24, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 960 | NE | |
| Mental Health Counselor | 101YM0800X | 809 | NE | |
| Mental Health Counselor | 101YM0800X | 7780 | NE | |
| Counselor | 101Y00000X | 809 | NE | Primary |
Addresses
Primary practice location
540 S 205TH St
Elkhorn, NE 68022-2141
Mailing address
540 S 205TH St
Elkhorn, NE 68022-2141
Phone (402) 601-1362
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10024992300 | Medicaid | NE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 809 | NE | MD | Speech-Language Pathologist |
| 960 | NE | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Unmc Physicians | Single Specialty | Past | Accepting new patients |
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": "1151107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621209600000",
"number": "1003842568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "540 S 205TH ST",
"city": "ELKHORN",
"state": "NE",
"postal_code": "680222141",
"telephone_number": "402-601-1362"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "540 S 205TH ST",
"city": "ELKHORN",
"state": "NE",
"postal_code": "680222141",
"telephone_number": "402-601-1362"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEADORS",
"first_name": "DIANA",
"middle_name": "M",
"credential": "LMHP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-24",
"last_updated": "2021-05-17",
"certification_date": "2021-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NE",
"license": "960",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "809",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "7780",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Counselor",
"state": "NE",
"license": "809",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10024992300",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Elkhorn, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.