Active NPI
John Vincent Goldrich, LMHP
- Mental Health Counselor
- Lincoln, NE
National Provider Identifier
1104991199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 1430
- Practice address
- 315 S 9TH St
Lincoln, NE 68508-2247 - Phone
- (402) 477-8278
- NPI assigned
- Nov 22, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 1430 | NE | Primary |
Addresses
Primary practice location
315 S 9TH St
Lincoln, NE 68508-2247
Mailing address
7141 S 32ND St
315 South 9TH Street Suite 15
Lincoln, NE 68516-4866
Phone (402) 421-3814
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 15426 | Other | NE | MIDLANDS CHOICE |
| 82369 | Other | NE | BLUE CROSS BLUE SHIELD NE |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2900 S 70TH St
Suite 160
Lincoln, NE 68506-3733
Phone (402) 304-0403
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 765 | NE | MD | Addiction (Substance Use Disorder) Counselor |
| 1430 | NE | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Smooth Sailing LLC | Mental Health | Current | Accepting new patients |
Locations
2900 S 70th St
Ste 160
Lincoln, NE 68506
Phone (402) 477-8278
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 and National Provider Directory roles.
-
- Mental Health Counselor
- Lincoln, NE
- NPI 1114549094
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1104991199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7141 S 32ND ST",
"address_2": "315 SOUTH 9TH STREET SUITE 15",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685164866",
"telephone_number": "402-421-3814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 S 9TH ST",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685082247",
"telephone_number": "402-477-8278"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDRICH",
"first_name": "JOHN",
"middle_name": "VINCENT",
"name_prefix": "Mr.",
"credential": "LMHP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "1430",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MIDLANDS CHOICE",
"identifier": "15426",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD NE",
"identifier": "82369",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.