Individual provider Active NPI

Amber Dirks, LIMHP LADC

  • Mental Health Counselor
  • Lincoln, NE
National Provider Identifier
1164967220
Registry record updated Feb 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1842 Issued in NE
Practice address
2202 S 11TH St
Lincoln, NE 68502-3559
Phone
(402) 475-5161
NPI assigned
Dec 28, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1214 NE
Mental Health Counselor 101YM0800X 1842 NE Primary

Addresses

Primary practice location

2202 S 11TH St
Lincoln, NE 68502-3559

Mailing address

2633 P St
Lincoln, NE 68503-3528
Phone (402) 475-5161

Other practice location 1

2300 S 13th St
Lincoln, NE 68502-3606
Phone (402) 474-3322 ext. 1225

Other practice location 2

2633 P St
Lincoln, NE 68503-3528
Phone (402) 474-4343

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
I20240216001221 NE Practitioner - Mental Health Counselor 8527402619 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1842NEMDPharmacy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Centerpointe, Inc. Addiction (Substance Use Disorder) CurrentSince Jan 13, 2024 Accepting new patients

Locations

2633 P St
Lincoln, NE 68503
Phone (402) 475-5161

2202 S 11th St
Lincoln, NE 68502
Phone (402) 475-5161

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": "1482883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706832000000",
    "number": "1164967220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2633 P ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685033528",
            "telephone_number": "402-475-5161",
            "fax_number": "402-435-0430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2202 S 11TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685023559",
            "telephone_number": "402-475-5161"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2300 S 13th St",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "NE",
            "postal_code": "685023606",
            "country_code": "US",
            "telephone_number": "402-474-3322 x1225",
            "fax_number": "402-474-4668",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2633 P St",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "NE",
            "postal_code": "685033528",
            "country_code": "US",
            "telephone_number": "402-474-4343",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIRKS",
        "first_name": "AMBER",
        "credential": "LIMHP LADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-28",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NE",
            "license": "1214",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "1842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.