Individual provider Active NPI

Theresa Kay Feldman, LMHP, LIMHP, LADC

  • Mental Health Counselor
  • North Platte, NE
National Provider Identifier
1154461929
Registry record updated Sep 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2999 Issued in NE
Practice address
308 W 4TH St Ste 1
North Platte, NE 69101-3828
Phone
(308) 532-0777
NPI assigned
Feb 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 2999 NE Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 736 NE

Addresses

Primary practice location

308 W 4TH St Ste 1
North Platte, NE 69101-3828

Mailing address

308 W 4TH St Ste 1
North Platte, NE 69101-3828
Phone (308) 532-0777

Other identifiers 1

IdentifierTypeStateIssuer
10025721900MedicaidNE

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
I20241018000948 NE Practitioner - Mental Health Counselor 4981734530 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beacon of Hope Counseling Center LLCGroup PAC ID 9133650484, 3 clinicians

Practice addresses (Care Compare)

308 W 4TH St
North Platte, NE 69101-3828
Phone (308) 532-0777

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
736NEMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Beacon of Hope Counseling Center LLC Mental Health CurrentSince Sep 25, 2024 Accepting new patients

Locations

308 W 4th St
North Platte, NE 69101
Phone (308) 532-0234

308 W 4th St
Ste 1
North Platte, NE 69101
Phone (308) 532-0777

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": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1154461929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 W 4TH ST STE 1",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691013828",
            "telephone_number": "308-532-0777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 W 4TH ST STE 1",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691013828",
            "telephone_number": "308-532-0777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELDMAN",
        "first_name": "THERESA",
        "middle_name": "KAY",
        "credential": "LMHP, LIMHP, LADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-08",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "2999",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NE",
            "license": "736",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025721900",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Platte, NE

Sources for this page

Verify at the official NPI Registry.