Individual provider Active NPI

Tracy Ann Muller, MA LIMHP

  • Mental Health Counselor
  • Fremont, NE
National Provider Identifier
1083908115
Registry record updated Feb 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1651 Issued in NE
Practice address
2170 N Platte Ave
Fremont, NE 68025-2630
Phone
(402) 720-7206
NPI assigned
Jun 6, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2024

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 9404 NE
Mental Health Counselor 101YM0800X 1651 NE Primary

Addresses

Primary practice location

2170 N Platte Ave
Fremont, NE 68025-2630

Mailing address

301 Ann St
PO Box 73
Morse Bluff, NE 68648-4890
Phone (402) 720-7206

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
I20251110003891 NE Practitioner - Mental Health Counselor 9830689595 Practice locations: Fremont, NE

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2011
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2170 N Platte Ave
Fremont, NE 68025-2630
Phone (402) 720-7206

301 Ann St
Morse Bluff, NE 68648-4890

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
1651NEMDChiropractor
9404NEMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Holly Kiefer LLC Mental Health PastSince Nov 3, 2024 Accepting new patients
Awareness Counseling LLC Mental Health 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1307318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708473600000",
    "number": "1083908115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 ANN ST",
            "address_2": "PO BOX 73",
            "city": "MORSE BLUFF",
            "state": "NE",
            "postal_code": "686484890",
            "telephone_number": "402-720-7206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2170 N PLATTE AVE",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680252630",
            "telephone_number": "402-720-7206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLER",
        "first_name": "TRACY",
        "middle_name": "ANN",
        "credential": "MA LIMHP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-06",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "9404",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "1651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, NE

Sources for this page

Verify at the official NPI Registry.