Melissa D Brestel, LIMHP, LCSW
Individual provider Active NPI Mental Health Counselor · Papillion, NE
NPI 1164597506 · NPPES record last updated Aug 15, 2011
Key facts
- NPI
- 1164597506
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 804 (NE)
- Practice address
- 1410 E Gold Coast Rd Ste 800
Papillion, NE 68046-5794 - Phone
- (402) 557-6027
- Fax
- (402) 557-6028
- NPI assigned
- Nov 21, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Therapy Resource Associates Inc
Practice addresses (Care Compare)
10824 Old Mill Rd
Suite 21
Omaha, NE 68154-2642
Phone (402) 330-6060
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 |
|---|---|---|---|---|
| I20100421000717 | NE | Practitioner - Clinical Social Worker | 0042347130 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1320 | NE | MD | Counselor |
| 804 | NE | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Forensic Behavioral Health, Inc. | Current |
Accepting new patients | |
| Therapy Resource Associates, Inc. | Mental Health | Current |
Accepting new patients |
Locations
10824 Old Mill Rd
Ste 21
Omaha, NE 68154
Phone (402) 330-6060
1410 E Gold Coast Rd
Ste 300
Papillion, NE 68046
Phone (402) 557-6027
1410 E Gold Coast Rd
Ste 800
Papillion, NE 68046
Phone (402) 557-6027
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 1320 | NE | |
| Mental Health Counselor | 101YM0800X | 804 | NE | Yes |
Addresses
Primary practice location
1410 E Gold Coast Rd Ste 800
Papillion, NE 68046-5794
Mailing address
1410 E Gold Coast Rd Ste 800
Papillion, NE 68046-5794
Phone (402) 557-6027
Other names
- Melissa D Miller
Other providers in Papillion, NE
- Sarah Boykin
- Victoria Jeanne Braddock
- Stacy Lynn Brant
- Justin Joseph Brazda
- Rachel Breitkreutz
- Cheryl L Brewer
- Peter M Brewer
- Caitlin S Bridges
- Alison Broadwell
- Elisa Guadalupe Brodie
All providers in Papillion, 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 Aug 15, 2011. 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.