Individual provider Active NPI

Kathleen Ann Spurgin, MA, LMHP

  • Mental Health Counselor
  • Omaha, NE
National Provider Identifier
1164705182
Registry record updated Aug 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
9504 Issued in NE
Practice address
2661 Douglas St
Omaha, NE 68131
Phone
(402) 978-5613
Fax
(402) 455-9759
NPI assigned
Sep 26, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2018

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 9504 NE Primary

Addresses

Primary practice location

2661 Douglas St
Omaha, NE 68131

Mailing address

5115 F St
Omaha, NE 68117-2807
Phone (402) 397-9866

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
I20240224000211 NE Practitioner - Mental Health Counselor 7315382884 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9504NEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Unmc Physicians CurrentSince Jan 10, 2024 Accepting new patients

Locations

988102 Nebraska Medical Ctr
Omaha, NE 68198
Phone (402) 559-5600

Emile 42nd St
Omaha, NE 68198
Phone (402) 552-6731

42nd Dewey St
Omaha, NE 68198
Phone (402) 552-6244

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": "1316995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534809600000",
    "number": "1164705182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5115 F ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681172807",
            "telephone_number": "402-397-9866",
            "fax_number": "402-397-1404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2661 DOUGLAS ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "68131",
            "telephone_number": "402-978-5613",
            "fax_number": "402-455-9759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPURGIN",
        "first_name": "KATHLEEN",
        "middle_name": "ANN",
        "credential": "MA, LMHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-26",
        "last_updated": "2018-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "9504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.