Individual provider Active NPI

Alexandra Jordan Inselman, PLMHP

  • Mental Health Counselor
  • Red Oak, IA
National Provider Identifier
1134718430
Registry record updated Jan 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
12454 Issued in NE
Practice address
706 W 2ND St
Red Oak, IA 51566-1462
Phone
(402) 616-9876
Fax
(712) 355-5120
NPI assigned
Jan 12, 2021
Last updated
Jan 12, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 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 12454 NE Primary

Addresses

Primary practice location

706 W 2ND St
Red Oak, IA 51566-1462

Mailing address

2412 S 11TH St
Council Bluffs, IA 51501-7407
Phone (402) 616-9876

Other practice location 1

7200 S 84th St
LA Vista, NE 68128-2115
Phone (402) 616-9876

Other practice location 2

427 E Kanesville Blvd Ste 308
Council Bluffs, IA 51503-4499
Phone (402) 616-9876

Other identifiers 1

IdentifierTypeStateIssuer
12454OtherNEPLMHP

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
I20250122001547 NE Practitioner - Mental Health Counselor 0840729745 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adult Adolescent and Child Therapy IncGroup PAC ID 8224353685, 3 clinicians

Practice addresses (Care Compare)

10846 Old Mill Rd
Suite 5
Omaha, NE 68154-2655
Phone (402) 687-6449

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12454NEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Crystal Sharp Counseling, LLC PastSince Jan 17, 2021 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1610409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610409600000",
    "number": "1134718430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2412 S 11TH ST",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515017407",
            "telephone_number": "402-616-9876",
            "fax_number": "712-355-5120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 W 2ND ST",
            "city": "RED OAK",
            "state": "IA",
            "postal_code": "515661462",
            "telephone_number": "402-616-9876",
            "fax_number": "712-355-5120"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7200 S 84th St",
            "address_purpose": "LOCATION",
            "city": "LA Vista",
            "state": "NE",
            "postal_code": "681282115",
            "country_code": "US",
            "telephone_number": "402-616-9876",
            "fax_number": "712-355-5120",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "427 E Kanesville Blvd Ste 308",
            "address_purpose": "LOCATION",
            "city": "Council Bluffs",
            "state": "IA",
            "postal_code": "515034499",
            "country_code": "US",
            "telephone_number": "402-616-9876",
            "fax_number": "712-355-5120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "INSELMAN",
        "first_name": "ALEXANDRA",
        "middle_name": "JORDAN",
        "credential": "PLMHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-12",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "12454",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PLMHP",
            "identifier": "12454",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Oak, IA

Sources for this page

Verify at the official NPI Registry.