Gina Lynn Anderson, PLMHP
Individual provider Active NPI Mental Health Counselor · Omaha, NE
NPI 1164092664 · NPPES record last updated Jun 28, 2021
Key facts
- NPI
- 1164092664
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 12671 (NE)
- Practice address
- 18918 Ontario St
Omaha, NE 68130-4315 - Phone
- (530) 591-0404
- NPI assigned
- Jun 28, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- New Beginnings Counseling Omaha Metro LLC
Practice addresses (Care Compare)
11414 W Ctr Rd
Suite 247
Omaha, NE 68144-4420
Phone (402) 598-9601
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NE
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240930003358 | NE | Practitioner - Mental Health Counselor | 6002347184 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12671 | NE | MD | Mental Health Counselor |
| 3652 | NE | MD | Pediatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Beginnings Counseling Omaha Metro LLC | Current |
Accepting new patients |
Locations
11414 W Center Rd
Ste 247
Omaha, NE 68144
Phone (402) 598-9601
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 12671 | NE | Yes |
Addresses
Primary practice location
18918 Ontario St
Omaha, NE 68130-4315
Mailing address
18918 Ontario St
Omaha, NE 68130-4315
Phone (530) 591-0404
Other providers in Omaha, NE
- Dorothy J Anderson
- Elizabeth E Anderson
- Elizabeth S Anderson
- Erik Darnell Anderson Sr.
- Gary Lee Anderson Jr.
- Gwen Anderson
- Haley Marie Anderson
- Heather Anderson
- Holly Anderson
- Jalissa Anderson
All providers in Omaha, NE · Mental Health Counselor in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 28, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.