Individual provider Active NPI

Kelly Lynn Betts Hanny, LIMHP

  • Mental Health Counselor
  • Omaha, NE
National Provider Identifier
1023676285
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
11857 Issued in NE
Practice address
11837 Miracle Hills Dr Ste 205
Omaha, NE 68154-4418
Phone
(402) 736-6340
NPI assigned
Jun 3, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 7365 NE
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 11857 NE Primary

Addresses

Primary practice location

11837 Miracle Hills Dr Ste 205
Omaha, NE 68154-4418

Mailing address

11837 Miracle Hills Dr Ste 205
Omaha, NE 68154-4418
Phone (402) 736-6340

Other practice location 1

210 N 78th St Ste 100
Omaha, NE 68114-3647
Phone (402) 804-3229

Other practice location 2

11409 Davenport St
Omaha, NE 68154-2526
Phone (402) 216-1398

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230622002996 NE Practitioner - Clinical Social Worker 0648638692
I20260416002258 NE Practitioner - Mental Health Counselor 0648638692 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

11837 Miracle Hills Dr
Suite 205
Omaha, NE 68154-4404

11837 Miracle Hills Dr
Suite 205
Omaha, NE 68154-4418

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11857NEMDMental Health Counselor
7365NEMDSurgery Physician
2048NEMDGerontology Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Be Kind Counseling LLC Mental Health CurrentSince May 1, 2023 Accepting new patients
Keen Help Therapy, LLC Mental Health CurrentSince Aug 25, 2024 Accepting new patients

Locations

11837 Miracle Hills Dr
Ste 102
Omaha, NE 68154
Phone (402) 277-9499

11837 Miracle Hills Dr
Ste 205
Omaha, NE 68154
Phone (402) 736-6340

Organizations & group practices 2

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": "1559520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1023676285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11837 MIRACLE HILLS DR STE 205",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681544418",
            "telephone_number": "402-736-6340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11837 MIRACLE HILLS DR STE 205",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681544418",
            "telephone_number": "402-736-6340"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "210 N 78th St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681143647",
            "country_code": "US",
            "telephone_number": "402-804-3229",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11409 Davenport St",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681542526",
            "country_code": "US",
            "telephone_number": "402-216-1398",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANNY",
        "first_name": "KELLY",
        "middle_name": "LYNN BETTS",
        "name_prefix": "Mrs.",
        "credential": "LIMHP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-03",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NE",
            "license": "7365",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "11857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.