Individual provider Active NPI

Aryn Monet Bowlby-Safranek, MS, LMHP, LADC

  • Mental Health Counselor
  • Omaha, NE
National Provider Identifier
1093810343
Registry record updated Nov 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
46 Issued in NE
Practice address
4565 S 133Rd St
Omaha, NE 68137-1142
Phone
(402) 590-2947
Fax
(402) 590-2030
NPI assigned
Sep 13, 2006
Last updated
Nov 10, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 46 NE Primary

Addresses

Primary practice location

4565 S 133Rd St
Omaha, NE 68137-1142

Mailing address

4835 Manderson St
Omaha, NE 68104-3013
Phone (402) 672-1690

Other identifiers 1

IdentifierTypeStateIssuer
10028133700MedicaidNE

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
I20240209001277 NE Practitioner - Mental Health Counselor 5597108274 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Complete Behavioral HealthGroup PAC ID 9638495336, 7 clinicians

Practice addresses (Care Compare)

4565 S 133Rd St
Omaha, NE 68137-1142
Phone (402) 590-2947

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
635NEMDClinical Neuropsychologist
1233NEMDSpeech-Language Pathologist
46NEMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Behavioral Health CurrentSince Jan 2, 2024 Accepting new patients

Locations

4565 S 133rd St
Omaha, NE 68137
Phone (402) 590-2947

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, 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": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699574400000",
    "number": "1093810343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4835 MANDERSON ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681043013",
            "telephone_number": "402-672-1690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4565 S 133RD ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681371142",
            "telephone_number": "402-590-2947",
            "fax_number": "402-590-2030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWLBY-SAFRANEK",
        "first_name": "ARYN",
        "middle_name": "MONET",
        "name_prefix": "Mrs.",
        "credential": "MS, LMHP, LADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-13",
        "last_updated": "2023-11-10",
        "certification_date": "2023-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "46",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10028133700",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.