Individual provider Active NPI

Beth A Bernthaler, LMHP, LIMHP, LADC

  • Mental Health Counselor
  • Omaha, NE
National Provider Identifier
1053547810
Registry record updated Nov 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1094 Issued in NE
Practice address
11605 Miracle Hills Dr Ste 300
Omaha, NE 68154-4467
Phone
(402) 238-1431
Fax
(402) 281-1862
NPI assigned
Jun 8, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 3480 NE
Mental Health Counselor 101YM0800X 1094 NE Primary

Addresses

Primary practice location

11605 Miracle Hills Dr Ste 300
Omaha, NE 68154-4467

Mailing address

11605 Miracle Hills Dr Ste 300
Omaha, NE 68154-4467
Phone (402) 238-1431

Other identifiers 3

IdentifierTypeStateIssuer
47037660626MedicaidNE
47037660624MedicaidNE
47037660631MedicaidNE

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
I20260225001232 NE Practitioner - Mental Health Counselor 4880175173 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alegent Creighton HealthGroup PAC ID 1850285255, 137 clinicians

Practice addresses (Care Compare)

7101 Newport Ave
Omaha, NE 68152-2164
Phone (402) 572-2905

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1094NEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Alegent Creighton Health CurrentSince Mar 1, 2026 Accepting new patients
Alegent Creighton Health Counselor CurrentSince Mar 1, 2026 Accepting new patients

Locations

2771 Solution Ctr
Chicago, IL 60677

7101 Newport Ave
Omaha, NE 68152
Phone (402) 572-2905

Networks

  • IA HMO C-SNP
  • IA HMO
  • CO HMO

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19923/brand/2/csg/21/fhir/r4

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": "1244419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732492800000",
    "number": "1053547810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11605 MIRACLE HILLS DR STE 300",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681544467",
            "telephone_number": "402-238-1431",
            "fax_number": "402-281-1862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11605 MIRACLE HILLS DR STE 300",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681544467",
            "telephone_number": "402-238-1431",
            "fax_number": "402-281-1862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNTHALER",
        "first_name": "BETH",
        "middle_name": "A",
        "credential": "LMHP, LIMHP, LADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-08",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NE",
            "license": "3480",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "1094",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47037660626",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47037660624",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47037660631",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.