Individual provider Active NPI

Michael G Keady, M.S, LMHP

  • Mental Health Counselor
  • Lincoln, NE
National Provider Identifier
1154462778
Registry record updated Aug 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1140 Issued in NE
Practice address
610 J St
Suite 320
Lincoln, NE 68508-2967
Phone
(402) 435-1313
Fax
(402) 435-5056
NPI assigned
Feb 8, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2007

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 1140 NE Primary

Addresses

Primary practice location

610 J St
Suite 320
Lincoln, NE 68508-2967

Mailing address

610 J St
Suite 320
Lincoln, NE 68508-2967
Phone (402) 435-1313

Other identifiers 1

IdentifierTypeStateIssuer
47074145326MedicaidNE

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
I20241024003489 NE Practitioner - Mental Health Counselor 0749713048 Practice locations: Lincoln, NE

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
University of Nebraska College of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7441 O St
Suite 402
Lincoln, NE 68510-2466
Phone (402) 217-3751

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
1140NEMDAddiction (Substance Use Disorder) Counselor
511NEMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Michael G Keady LLC Mental Health CurrentSince Sep 11, 2024 Accepting new patients

Locations

7441 O St
Ste 402
Lincoln, NE 68510
Phone (402) 483-4215

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": "1187654400000",
    "number": "1154462778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 J ST",
            "address_2": "SUITE 320",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685082967",
            "telephone_number": "402-435-1313",
            "fax_number": "402-435-5056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 J ST",
            "address_2": "SUITE 320",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685082967",
            "telephone_number": "402-435-1313",
            "fax_number": "402-435-5056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEADY",
        "first_name": "MICHAEL",
        "middle_name": "G",
        "name_prefix": "Mr.",
        "credential": "M.S, LMHP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-08",
        "last_updated": "2007-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "1140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47074145326",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.