Individual provider Active NPI

Amber Lynn Keefe, LIMHP

  • Mental Health Counselor
  • Bassett, NE
National Provider Identifier
1174181804
Registry record updated Apr 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
3299 Issued in NE
Practice address
407 S Clark St
Bassett, NE 68714-6043
Phone
(402) 684-2908
NPI assigned
May 29, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 11860 NE
Mental Health Counselor 101YM0800X 3299 NE Primary

Addresses

Primary practice location

407 S Clark St
Bassett, NE 68714-6043

Mailing address

407 S Clark St
Bassett, NE 68714-6043
Phone (402) 684-2908

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
I20240314003408 NE Practitioner - Mental Health Counselor 7618313479 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Midwest Country Clinic LLCGroup PAC ID 2466768809, 4 clinicians

Practice addresses (Care Compare)

407 S Clark St
Bassett, NE 68714-6043
Phone (402) 684-2908

805 S F St
Suite 20
Broken Bow, NE 68822-2433
Phone (402) 684-2908

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11860NEMDOtolaryngology Physician
3299NEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Country Clinic LLC Mental Health CurrentSince Jan 22, 2024 Accepting new patients
Sandhills Behavioral Services LLC Mental Health PastSince Apr 23, 2023 Accepting new patients

Locations

801 S State St
Bassett, NE 68714
Phone (402) 684-2730

805 S F St
Ste 20
Broken Bow, NE 68822

314 S 14th St
Ord, NE 68862
Phone (308) 728-5401

Organizations & group practices 2

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": "1559088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681776000000",
    "number": "1174181804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 S CLARK ST",
            "city": "BASSETT",
            "state": "NE",
            "postal_code": "687146043",
            "telephone_number": "402-684-2908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 S CLARK ST",
            "city": "BASSETT",
            "state": "NE",
            "postal_code": "687146043",
            "telephone_number": "402-684-2908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEEFE",
        "first_name": "AMBER",
        "middle_name": "LYNN",
        "credential": "LIMHP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-29",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "11860",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "3299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bassett, NE

Sources for this page

Verify at the official NPI Registry.