Zachery Ellis Ditson

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

13237 Issued in NE

Practice address

2444 O St
Lincoln, NE 68510-1125

Phone

(402) 217-1866

NPI assigned

Aug 11, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Mental Health Counselor

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Alivation Health, LLC

  • Psychiatry Physician
  • Lincoln, NE
  • NPI 1710917448
  Medicare reassignment NPD
• Melissa M Williams Licensed Counselor

  • Professional Counselor
  • Columbia, MO
  • NPI 1346671690
  NPD
• Melissa M Williams Licensed Counselor, LLC

  • Professional Counselor
  • Columbia, MO
  • NPI 1891451829
  NPD

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

{
    "created_epoch": "1660176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695945600000",
    "number": "1043948680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2444 O ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685101125",
            "telephone_number": "402-217-1866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2444 O ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685101125",
            "telephone_number": "402-217-1866"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1804 Heriford Rd",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MO",
            "postal_code": "652021942",
            "country_code": "US",
            "telephone_number": "573-639-1094",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DITSON",
        "first_name": "ZACHERY",
        "middle_name": "ELLIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-11",
        "last_updated": "2023-09-29",
        "certification_date": "2023-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "13237",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Beth Dissmeyer
• Penney Kay Distad
• Distinctive Dental Care
• Distinctive Dental Care Associates
• Hannah A Ditmars Buckwalter, AUD
• Joni Sue Dittbrenner, LCSW, LMPH
• Brandi Dittmer
• Brenda Dittmer
• Cassandra M Dittmer, M.S.
• Haley Dittmer

• Mental Health Counselor in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Mental Health Counselor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2023; 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.

Verify at the official NPI Registry.