Individual provider Active NPI

Brenda Kaye Merideth, LIMHP, MSW

  • Mental Health Counselor
  • Lincoln, NE
National Provider Identifier
1134328008
Registry record updated Oct 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2939 Issued in NE
Practice address
2301 O St
Ste 2
Lincoln, NE 68510-1124
Phone
(402) 441-6642
Fax
(402) 476-1670
NPI assigned
Jul 12, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X P-600 NE
Mental Health Counselor 101YM0800X 2939 NE Primary
Social Worker 104100000X 1176 NE

Addresses

Primary practice location

2301 O St
Ste 2
Lincoln, NE 68510-1124

Mailing address

1021 N 27TH St
Lincoln, NE 68503-1803
Phone (402) 476-1455

Other identifiers 3

IdentifierTypeStateIssuer
P-600OtherNEPLADC
1176OtherNEMSW
2939OtherNELMHP

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161101001803 NE Practitioner - Clinical Social Worker 0446538169 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P-600NEMDAddiction (Substance Use Disorder) Counselor
1176NEMDSocial Worker
2939NEMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Lutheran Family Services of NE, Inc Addiction (Substance Use Disorder) CurrentSince Sep 15, 2021 Accepting new patients

Locations

1021 N 27th St
Lincoln, NE 68503
Phone (402) 476-1640

2301 O St
Ste 1
Lincoln, NE 68510

7929 W Center Rd
Omaha, NE 68124
Phone (402) 342-7007

124 S 24th St
Ste 230
Omaha, NE 68102
Phone (402) 591-5078

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": "1184198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477353600000",
    "number": "1134328008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 N 27TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685031803",
            "telephone_number": "402-476-1455",
            "fax_number": "402-476-1670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 O ST",
            "address_2": "STE 2",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685101124",
            "telephone_number": "402-441-6642",
            "fax_number": "402-476-1670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERIDETH",
        "first_name": "BRENDA",
        "middle_name": "KAYE",
        "name_prefix": "Ms.",
        "credential": "LIMHP, MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-12",
        "last_updated": "2016-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NE",
            "license": "P-600",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "2939",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NE",
            "license": "1176",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PLADC",
            "identifier": "P-600",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MSW",
            "identifier": "1176",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LMHP",
            "identifier": "2939",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.