Active NPI
Jon B. Kayne, M.S.W., PH.D.
- Mental Health Counselor
- Bellevue, NE
National Provider Identifier
1124084157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 359
- Practice address
- 4212 McCarty Dr
Bellevue, NE 68123-1185 - Phone
- (402) 216-3917
- Fax
- (402) 291-8018
- NPI assigned
- Apr 26, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 10 | NE | |
| Clinical Social Worker | 1041C0700X | 145 | NE | |
| Mental Health Counselor | 101YM0800X | 359 | NE | Primary |
Addresses
Primary practice location
4212 McCarty Dr
Bellevue, NE 68123-1185
Mailing address
4212 McCarty Dr
Bellevue, NE 68123-1185
Phone (402) 216-3917
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 82452 | Other | NE | BCBS PROVIDER # |
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 145 | NE | MD | Mental Health Counselor |
| 10 | NE | MD | Obstetrics & Gynecology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rizzo & Associates, PC | Mental Health | Past | Accepting new patients |
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1290384000000",
"number": "1124084157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4212 MCCARTY DR",
"city": "BELLEVUE",
"state": "NE",
"postal_code": "681231185",
"telephone_number": "402-216-3917",
"fax_number": "402-291-8018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4212 MCCARTY DR",
"city": "BELLEVUE",
"state": "NE",
"postal_code": "681231185",
"telephone_number": "402-216-3917",
"fax_number": "402-291-8018"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAYNE",
"first_name": "JON",
"middle_name": "B.",
"name_prefix": "Dr.",
"credential": "M.S.W., PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-26",
"last_updated": "2010-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NE",
"license": "10",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NE",
"license": "145",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "359",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER #",
"identifier": "82452",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bellevue, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.