Crystal Leach, LIMHP, MSW
Individual provider Active NPI Mental Health Counselor · Oshkosh, NE
NPI 1184935355 · NPPES record last updated Oct 10, 2019
Key facts
- NPI
- 1184935355
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 1077 (NE)
- Practice address
- 1100 West 2ND Street
Oshkosh, NE 69154-6152 - Phone
- (308) 772-3283
- Fax
- (308) 772-9916
- NPI assigned
- Jun 23, 2010
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Regional West Garden County
Practice addresses (Care Compare)
1100 W 2ND St
Oshkosh, NE 69154-6152
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NE
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150210001507 | NE | Practitioner - Clinical Social Worker | 6204151467 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1486 | NE | MD | Clinical Social Worker |
| 1077 | NE | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regional West Garden County | Current |
Accepting new patients | |
| Garden County Hospital & Nursing Home | Current | Accepting new patients | |
| Garden County Hospital & Nursing Home | Current | Accepting new patients | |
| In Good Counsel, LLC | Mental Health | Past | Accepting new patients |
Locations
1100 W 2nd St
Oshkosh, NE 69154
Phone (308) 772-3283
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 1486 | NE | |
| Mental Health Counselor | 101YM0800X | 1077 | NE | Yes |
Addresses
Primary practice location
1100 West 2ND Street
Oshkosh, NE 69154-6152
Mailing address
1100 West 2ND Street
Oshkosh, NE 69154-6152
Phone (308) 772-3283
Other providers in Oshkosh, NE
- Kerri Lee Gortemaker
- Eric Daniel Hays
- Tim Andrew Jensen
- Tina Yvonne Kalkofen
- Lyndsie Lane
- Aliyah Marie Leopold
- Main Street Medical LLC
- Joselin Marquez
- Ireland Beloved Magdaleane Moreno
- Brianna Nugent
All providers in Oshkosh, NE · Mental Health Counselor in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 10, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.