Individual provider Active NPI

Riannon Lynn Simmerman, LIMHP, PLADC

  • Mental Health Counselor
  • Omaha, NE
National Provider Identifier
1063897809
Registry record updated Dec 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2049 Issued in NE
Practice address
11920 Burt Street
Suite 190
Omaha, NE 68154
Phone
(402) 965-4004
Fax
(402) 965-4232
NPI assigned
Jul 22, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2018

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 2049 NE Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X P-1334 NE

Addresses

Primary practice location

11920 Burt Street
Suite 190
Omaha, NE 68154

Mailing address

11920 Burt Street
Suite 190
Omaha, NE 68154
Phone (402) 965-4004

Other names 1

  • Miss Riannon Lynn Jeffery Former name

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
I20240724000820 NE Practitioner - Mental Health Counselor 2062958234 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alliance Counseling CenterGroup PAC ID 3870876329, 4 clinicians

Practice addresses (Care Compare)

11920 Burt St
Suite 190
Omaha, NE 68154-1573
Phone (402) 965-4004

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P-1334NEMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Counseling Center Mental Health CurrentSince Jan 1, 2019 Accepting new patients

Locations

11920 Burt St
Ste 190
Omaha, NE 68154
Phone (402) 965-4004

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": "1437523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543795200000",
    "number": "1063897809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11920 BURT STREET",
            "address_2": "SUITE 190",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "68154",
            "telephone_number": "402-965-4004",
            "fax_number": "402-965-4232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11920 BURT STREET",
            "address_2": "SUITE 190",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "68154",
            "telephone_number": "402-965-4004",
            "fax_number": "402-965-4232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMERMAN",
        "first_name": "RIANNON",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "LIMHP, PLADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-22",
        "last_updated": "2018-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "2049",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NE",
            "license": "P-1334",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RIANNON",
            "last_name": "JEFFERY",
            "middle_name": "LYNN",
            "prefix": "MISS",
            "credential": "PLMHP, PLADC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.