Individual provider Active NPI

Andrea Marie Rossitto-Willets, LMHP, CPC, PLADC

  • Mental Health Counselor
  • Omaha, NE
National Provider Identifier
1093871683
Registry record updated Jan 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
3249 Issued in NE
Practice address
3213 N 90TH St
Omaha, NE 68134-4707
Phone
(402) 571-3995
NPI assigned
Dec 28, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2008

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X P570 NE
Mental Health Counselor 101YM0800X 3249 NE Primary
Professional Counselor 101YP2500X 1675 NE

Addresses

Primary practice location

3213 N 90TH St
Omaha, NE 68134-4707

Mailing address

3213 N 90TH St
Omaha, NE 68134-4707
Phone (402) 571-3995

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
I20240202002238 NE Practitioner - Mental Health Counselor 8123198322 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pando Geriatric Counseling, PCGroup PAC ID 2567632458, 9 clinicians

Practice addresses (Care Compare)

11620 Arbor St
Suite 101
Omaha, NE 68144-2972
Phone (402) 321-8995

2305 S 10TH St
Omaha, NE 68108-1108
Phone (402) 345-5683

3110 Scott Cir
Omaha, NE 68112-2604
Phone (402) 455-6636

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P570NEMDAddiction (Substance Use Disorder) Counselor
3249NEMDProfessional Counselor
643NEMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Pando Geriatric Counseling, PC CurrentSince Jan 1, 2024 Accepting new patients
Envision Counseling Center, LLC Mental Health Past Accepting new patients
Key Insights Counseling LLP Mental Health Past Accepting new patients

Locations

11620 Arbor St
Ste 101
Omaha, NE 68144
Phone (402) 321-8995

11932 Arbor St
Ste 104
Omaha, NE 68144
Phone (402) 321-8995

3110 Scott Cir
Omaha, NE 68112
Phone (402) 455-6636

Organizations & group practices 3

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": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200441600000",
    "number": "1093871683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3213 N 90TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681344707",
            "telephone_number": "402-571-3995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3213 N 90TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681344707",
            "telephone_number": "402-571-3995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSSITTO-WILLETS",
        "first_name": "ANDREA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LMHP, CPC, PLADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-28",
        "last_updated": "2008-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NE",
            "license": "P570",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "3249",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NE",
            "license": "1675",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.