Individual provider Active NPI

Keenan W Krick

  • Mental Health Counselor
  • Omaha, NE
National Provider Identifier
1154675569
Registry record updated May 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
9802 Nicholas St Ste 305
Omaha, NE 68114-2106
Phone
(402) 616-9623
Fax
(402) 281-0665
NPI assigned
Nov 7, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2025

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 1130 NE
Community Health Worker 172V00000X
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

9802 Nicholas St Ste 305
Omaha, NE 68114-2106

Mailing address

9802 Nicholas St Ste 305
Omaha, NE 68114-2106

Other practice location 1

11111 M Street
Omaha, NE 68137-2378
Phone (402) 504-4099

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
I20260130001392 NE Practitioner - Mental Health Counselor 6608354725 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Enrichment IncGroup PAC ID 5698728509, 6 clinicians

Practice addresses (Care Compare)

820 S 75TH St
Omaha, NE 68114-4623
Phone (402) 391-2477

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4792NEMDPhysical Therapist
1130NEMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Namaste Mental Health Therapy CurrentSince Jun 1, 2022 Accepting new patients
Family Enrichment Inc CurrentSince Jan 1, 2026 Accepting new patients

Locations

15761 W Dodge Rd
Omaha, NE 68118
Phone (402) 616-9623

9802 Nicholas St
Ste 305
Omaha, NE 68114
Phone (402) 397-2300

820 S 75th St
Omaha, NE 68114
Phone (402) 391-2477

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1352246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746662400000",
    "number": "1154675569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9802 NICHOLAS ST STE 305",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681142106",
            "fax_number": "402-281-0665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9802 NICHOLAS ST STE 305",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681142106",
            "telephone_number": "402-616-9623",
            "fax_number": "402-281-0665"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11111 M Street",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681372378",
            "country_code": "US",
            "telephone_number": "402-504-4099",
            "fax_number": "402-898-4135",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRICK",
        "first_name": "KEENAN",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-11-07",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NE",
            "license": "1130",
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.