Active NPI
Kenneth James Mausbach, MS
- Clinical Social Worker
- Lincoln, NE
National Provider Identifier
1124271523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1055
- Practice address
- 1919 S 40TH St
Suite 212
Lincoln, NE 68506-5243 - Phone
- (402) 441-9280
- Fax
- (402) 441-9279
- NPI assigned
- Oct 29, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 2498 | NE | |
| Clinical Social Worker | 1041C0700X | 1055 | NE | Primary |
Addresses
Primary practice location
1919 S 40TH St
Suite 212
Lincoln, NE 68506-5243
Mailing address
1919 S 40TH St
Suite 212
Lincoln, NE 68506-5243
Phone (402) 441-9280
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 456304000 | Other | NE | MAGELLAN |
| 47075636930 | Medicaid | NE | |
| 10025734000 | Medicaid | NE | |
| 47075636926 | Medicaid | NE | |
| 249035 | Other | NE | MIDLANDS INSURANCE |
| 47075636998 | Medicaid | NE | |
| 82144 | Other | NE | NE BLUE CROSS & BLUE SHEILD |
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2498 | NE | MD | Speech-Language Pathologist |
| 1055 | NE | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| First Step Recovery Center Inc. | 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.
-
dba First Step
- Multi-Specialty Clinic/Center
- Lincoln, NE
- NPI 1306919881
Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1258675200000",
"number": "1124271523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1919 S 40TH ST",
"address_2": "SUITE 212",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685065243",
"telephone_number": "402-441-9280",
"fax_number": "402-441-9279"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1919 S 40TH ST",
"address_2": "SUITE 212",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685065243",
"telephone_number": "402-441-9280",
"fax_number": "402-441-9279"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAUSBACH",
"first_name": "KENNETH",
"middle_name": "JAMES",
"name_prefix": "Mr.",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-10-29",
"last_updated": "2009-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "2498",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NE",
"license": "1055",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "456304000",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47075636930",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025734000",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47075636926",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MIDLANDS INSURANCE",
"identifier": "249035",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47075636998",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NE BLUE CROSS & BLUE SHEILD",
"identifier": "82144",
"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 Nov 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.