Individual provider Active NPI

Larka Vesper

  • Mental Health Counselor
  • Lincoln, NE
National Provider Identifier
1154726461
Registry record updated Oct 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
10392 Issued in NE
Practice address
4545 S 86TH St
Lincoln, NE 68526-9227
Phone
(402) 483-6990
Fax
(402) 483-7045
NPI assigned
Oct 29, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2014

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 10392 NE Primary

Addresses

Primary practice location

4545 S 86TH St
Lincoln, NE 68526-9227

Mailing address

4545 S 86TH St
Lincoln, NE 68526-9227
Phone (402) 483-6990

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
I20231114002820 NE Practitioner - Mental Health Counselor 0840647707 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Blue Valley Behavioral Health IncGroup PAC ID 3971403668, 32 clinicians

Practice addresses (Care Compare)

1123 N 9TH St
Beatrice, NE 68310-2041
Phone (402) 228-3386

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10392NEMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Valley Behavioral Health Inc CurrentSince Jan 1, 2024 Accepting new patients

Locations

1123 N 9th St
Beatrice, NE 68310
Phone (402) 228-3386

3901 Normal Blvd
Ste 201
Lincoln, NE 68506
Phone (402) 261-4017

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": "1414540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414540800000",
    "number": "1154726461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4545 S 86TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685269227",
            "telephone_number": "402-483-6990",
            "fax_number": "402-483-7045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4545 S 86TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685269227",
            "telephone_number": "402-483-6990",
            "fax_number": "402-483-7045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VESPER",
        "first_name": "LARKA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-29",
        "last_updated": "2014-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "10392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.