Active NPI
Samantha Marie Baumert, LIMHP
- Mental Health Counselor
- Omaha, NE
National Provider Identifier
1033712922
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 3246
- Practice address
- 1941 S 42ND St Ste 328
Omaha, NE 68105-2943 - Phone
- (402) 614-8444
- NPI assigned
- Nov 21, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 3246 | NE | Primary |
Addresses
Primary practice location
1941 S 42ND St Ste 328
Omaha, NE 68105-2943
Mailing address
11273 Martin Ave
Omaha, NE 68164-6809
Phone (308) 224-6318
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240320002555 | NE | Practitioner - Mental Health Counselor | 5395182851 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10748 Virginia PLZ
Suite 107
La Vista, NE 68128-3265
Phone (402) 933-4411
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3246 | NE | MD | Physical Therapist |
Practice roles (1 of 7)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Focus C3, PC | Mental Health | Current | Accepting new patients |
Locations
10748 Virginia Plz
Ste 107
Lavista, NE 68128
Phone (402) 933-4411
Networks
- IA HMO
- devoted network organization-a4751131-f16f-4e82-8f2b-b08e66379a7a
- CO HMO D-SNP
- CO HMO
- IA HMO C-SNP
- CO HMO C-SNP
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": "1605916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704240000000",
"number": "1033712922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11273 MARTIN AVE",
"city": "OMAHA",
"state": "NE",
"postal_code": "681646809",
"telephone_number": "308-224-6318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1941 S 42ND ST STE 328",
"city": "OMAHA",
"state": "NE",
"postal_code": "681052943",
"telephone_number": "402-614-8444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAUMERT",
"first_name": "SAMANTHA",
"middle_name": "MARIE",
"credential": "LIMHP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-21",
"last_updated": "2024-01-03",
"certification_date": "2024-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "3246",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.