Individual provider Active NPI

Mikki Jo McBride, LIMHP

  • Mental Health Counselor
  • Lincoln, NE
National Provider Identifier
1063670560
Registry record updated Feb 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2499 Issued in NE
Practice address
2444 O Street
Co Child Guidance Center
Lincoln, NE 68510
Phone
(402) 475-7666
Fax
(402) 476-9623
NPI assigned
May 30, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 7701 NE
Mental Health Counselor 101YM0800X 2499 NE Primary

Addresses

Primary practice location

2444 O Street
Co Child Guidance Center
Lincoln, NE 68510

Mailing address

2444 O Street
Co Child Guidance Center
Lincoln, NE 68510
Phone (402) 475-7666

Other identifiers 1

IdentifierTypeStateIssuer
96118OtherNEBCBS

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
I20240311002131 NE Practitioner - Mental Health Counselor 6709222912 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alivation Health LLCGroup PAC ID 0941199681, 14 clinicians

Practice addresses (Care Compare)

8550 Cuthills Cir
Suite 100
Lincoln, NE 68526-9523
Phone 4024766060211

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2499NEMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Alivation Health, LLC CurrentSince Jan 27, 2024 Accepting new patients

Locations

8550 Cuthills Cir
Lincoln, NE 68526
Phone (402) 476-5686

8550 Cuthills Cir
Ste 100
Lincoln, NE 68526

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": "1212105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675814400000",
    "number": "1063670560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2444 O STREET",
            "address_2": "CO CHILD GUIDANCE CENTER",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "68510",
            "telephone_number": "402-475-7666",
            "fax_number": "402-476-9623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2444 O STREET",
            "address_2": "CO CHILD GUIDANCE CENTER",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "68510",
            "telephone_number": "402-475-7666",
            "fax_number": "402-476-9623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCBRIDE",
        "first_name": "MIKKI",
        "middle_name": "JO",
        "credential": "LIMHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-30",
        "last_updated": "2023-02-08",
        "certification_date": "2023-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "7701",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "2499",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "96118",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.