Individual provider Active NPI

Susan Lea Abels-Athy, M.S., L.M.H.P.

  • Mental Health Counselor
  • Kearney, NE
National Provider Identifier
1083831945
Registry record updated Aug 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
97 Issued in NE
Practice address
3814 A Ave
Kearney, NE 68847-8124
Phone
(308) 234-6029
Fax
(308) 237-4792
NPI assigned
Apr 19, 2007
Last updated
Aug 13, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2020

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 1830 NE
Mental Health Counselor 101YM0800X 97 NE Primary

Addresses

Primary practice location

3814 A Ave
Kearney, NE 68847-8124

Mailing address

PO Box 2583
Kearney, NE 68848-2583
Phone (308) 234-6029

Other identifiers 1

IdentifierTypeStateIssuer
47077781326MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
97NEMDMental Health Counselor
1830NEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Psychological Services PC PastSince Aug 23, 2020 Accepting new patients
A Better Choice Counseling Services Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597276800000",
    "number": "1083831945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2583",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688482583",
            "telephone_number": "308-234-6029",
            "fax_number": "308-237-4792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3814 A AVE",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688478124",
            "telephone_number": "308-234-6029",
            "fax_number": "308-237-4792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABELS-ATHY",
        "first_name": "SUSAN",
        "middle_name": "LEA",
        "name_prefix": "Mrs.",
        "credential": "M.S., L.M.H.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-19",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "1830",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "97",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47077781326",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kearney, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.