Individual provider Active NPI

Thomas Z. Maxson, LIMHP, LADC, MAC

  • Mental Health Counselor
  • Kearney, NE
National Provider Identifier
1104937895
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
667 Issued in NE
Practice address
2908 W 39TH St Ste B
Kearney, NE 68845-1245
Phone
(308) 237-0391
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2025

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 551 NE
Mental Health Counselor 101YM0800X 2326 NE
Mental Health Counselor 101YM0800X 667 NE Primary

Addresses

Primary practice location

2908 W 39TH St Ste B
Kearney, NE 68845-1245

Mailing address

4303 Loveland Dr
Kearney, NE 68845-2387
Phone (308) 233-0977

Other identifiers 3

IdentifierTypeStateIssuer
85196OtherNEBC/BS
470808292OtherNETRICARE
470808292OtherNEMIDLANDS CHOICE

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
I20250106000128 NE Practitioner - Mental Health Counselor 1759641103 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Insight Counseling and Recovery LLCGroup PAC ID 5496014334, 4 clinicians

Practice addresses (Care Compare)

2908 W 39TH St
Suite B
Kearney, NE 68845-1245
Phone (308) 237-0391

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
667NEMDCognitive & Behavioral Psychologist
551NEMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Maxson Counseling and Consulting LLC Addiction (Substance Use Disorder) CurrentSince Sep 1, 2025 Accepting new patients
Insight Counseling and Recovery, LLC Addiction (Substance Use Disorder) CurrentSince Oct 21, 2024 Accepting new patients

Locations

2908 W 39th St
Ste B
Kearney, NE 68845
Phone (308) 237-0391

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751328000000",
    "number": "1104937895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4303 LOVELAND DR",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688452387",
            "telephone_number": "308-233-0977",
            "fax_number": "308-237-9499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2908 W 39TH ST STE B",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688451245",
            "telephone_number": "308-237-0391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAXSON",
        "first_name": "THOMAS",
        "middle_name": "Z.",
        "credential": "LIMHP, LADC, MAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NE",
            "license": "551",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "2326",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "667",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "85196",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "470808292",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS CHOICE",
            "identifier": "470808292",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kearney, NE

Sources for this page

Verify at the official NPI Registry.