Individual provider Active NPI

Mariah Hergott

  • Counselor
  • Norfolk, NE
National Provider Identifier
1184072027
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
2273 Issued in NE
Practice address
802 Custer Ave Ste B
Norfolk, NE 68701-0859
Phone
(402) 230-7576
NPI assigned
Jun 1, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 10893 NE
Counselor 101Y00000X 2273 NE Primary

Addresses

Primary practice location

802 Custer Ave Ste B
Norfolk, NE 68701-0859

Mailing address

110 N 37TH St Ste 405
Norfolk, NE 68701-3283
Phone (402) 230-7576

Other names 1

  • Mariah Ramold Former name

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
I20240203000198 NE Practitioner - Mental Health Counselor 2769825009

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2273NEMDCounselor
10893NEMDPharmacist
1318NEMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Creative Care Counseling, LLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

710 S 13th St
Ste 900
Norfolk, NE 68701
Phone (402) 640-7521

802 Custer Ave
Ste B
Norfolk, NE 68701
Phone (402) 230-7576

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.

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

710 S 13TH St
Suite 900
Norfolk, NE 68701-5747

710 S 13TH St
Suite 900 PMB 216
Norfolk, NE 68701-5792

710 S 13TH St 900 PMB
Suite 216
Norfolk, NE 68701-5792

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1464739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740528000000",
    "number": "1184072027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 N 37TH ST STE 405",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687013283",
            "telephone_number": "402-230-7576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 CUSTER AVE STE B",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687010859",
            "telephone_number": "402-230-7576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERGOTT",
        "first_name": "MARIAH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-01",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NE",
            "license": "10893",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NE",
            "license": "2273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIAH",
            "last_name": "RAMOLD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Norfolk, NE

Sources for this page

Verify at the official NPI Registry.