Cindy Ann Betka, LADC

Key facts

NPI

1124250139

Entity type

Individual (NPI type 1)

Primary specialty

Mental Health Counselor 101YM0800X

License

2577 (NE)

Practice address

2815 S Locust St
Grand Island, NE 68801-8861

Phone

(308) 398-0350

Fax

(308) 398-0351

NPI assigned

Aug 10, 2009

Sex

Female

Sole proprietor

Yes

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.

• Red Couch Counseling LLC Mental Health Counselor · Geneva, NE · NPI 1346759099
  Medicare reassignment Care Compare group NPD MENTAL HEALTH · NE
• Grand Island Mental Health LLC Mental Health Counselor · Grand Island, NE · NPI 1306289194
  Medicare reassignment NPD MENTAL HEALTH · NE
• FGH Inc. Mental Health Counselor · Grand Island, NE · NPI 1366967010
  NPD Authorized official ADDICTION (SUBSTANCE USE DISORDER)

Medicare Care Compare profile

Specialty

Mental Health Counselor

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Red Couch Counseling LLC (7 clinicians)

Practice addresses (Care Compare)

Medicare participation

Medicare fee-for-service enrollment

Enrolled in NE

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 12, 2024.

{
    "created_epoch": "1249862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1124250139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 W 4TH ST",
            "city": "SUPERIOR",
            "state": "NE",
            "postal_code": "689781731",
            "telephone_number": "402-879-5959",
            "fax_number": "402-879-3174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2815 S LOCUST ST",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688018861",
            "telephone_number": "308-398-0350",
            "fax_number": "308-398-0351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BETKA",
        "first_name": "CINDY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-10",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NE",
            "license": "231",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "2577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Grand Island, NE · Mental Health Counselor in Nebraska