Individual provider Active NPI

Diana Kretz, PLMHP

  • Mental Health Counselor
  • York, NE
National Provider Identifier
1114597515
Registry record updated Jun 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
12399 Issued in NE
Practice address
2011 N Lincoln Ave
York, NE 68467-1071
Phone
(308) 381-7487
Fax
(308) 381-2712
NPI assigned
Jun 28, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2021

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 12399 NE Primary

Addresses

Primary practice location

2011 N Lincoln Ave
York, NE 68467-1071

Mailing address

PO Box 5858
Grand Island, NE 68802-5858
Phone (308) 381-7487

Other practice location 1

3532 W Capital Ave
Grand Island, NE 68803-1205
Phone (308) 381-7487

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
12399NEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Family Resources of Greater Nebraska, P.C. PastSince Jul 4, 2021 Accepting new patients
Family Resources of Greater Nebraska PC Mental Health PastSince Oct 1, 2000 Accepting new patients
Alivation Health, LLC Past Accepting new patients

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": "1624838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624838400000",
    "number": "1114597515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5858",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688025858",
            "telephone_number": "308-381-7487",
            "fax_number": "308-381-2712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2011 N LINCOLN AVE",
            "city": "YORK",
            "state": "NE",
            "postal_code": "684671071",
            "telephone_number": "308-381-7487",
            "fax_number": "308-381-2712"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3532 W Capital Ave",
            "address_purpose": "LOCATION",
            "city": "Grand Island",
            "state": "NE",
            "postal_code": "688031205",
            "country_code": "US",
            "telephone_number": "308-381-7487",
            "fax_number": "308-381-7487",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRETZ",
        "first_name": "DIANA",
        "credential": "PLMHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-28",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "12399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in York, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.