Individual provider Active NPI

Anastasia Elizabeth Mai, M.S., LIMHP

  • Counselor
  • Scottsbluff, NE
National Provider Identifier
1184787053
Registry record updated Oct 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
1259 Issued in NE
Practice address
2626 Broadway
Scottsbluff, NE 69361-1608
Phone
(308) 633-2845
Fax
(308) 633-2847
NPI assigned
Dec 19, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 2268 NE
Professional Counselor 101YP2500X 1263 NE
Counselor 101Y00000X 1259 NE Primary

Addresses

Primary practice location

2626 Broadway
Scottsbluff, NE 69361-1608

Mailing address

2626 Broadway
Scottsbluff, NE 69361-1608
Phone (308) 633-2845

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
I20240215001829 NE Practitioner - Mental Health Counselor 3971947169 Practice locations: Scottsbluff, NE

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2626 Broadway
Scottsbluff, NE 69361-1608
Phone (308) 633-2845

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1263NEMDRadiology Chiropractor
2268NEMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tranquility Health LLC PastSince May 16, 2021 Accepting new patients

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": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696204800000",
    "number": "1184787053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2626 BROADWAY",
            "city": "SCOTTSBLUFF",
            "state": "NE",
            "postal_code": "693611608",
            "telephone_number": "308-633-2845",
            "fax_number": "308-633-2847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2626 BROADWAY",
            "city": "SCOTTSBLUFF",
            "state": "NE",
            "postal_code": "693611608",
            "telephone_number": "308-633-2845",
            "fax_number": "308-633-2847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAI",
        "first_name": "ANASTASIA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "M.S., LIMHP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-19",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NE",
            "license": "2268",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NE",
            "license": "1263",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NE",
            "license": "1259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsbluff, NE

Sources for this page

Verify at the official NPI Registry.