Individual provider Active NPI

Crystal Leach, LIMHP, MSW

  • Mental Health Counselor
  • Oshkosh, NE
National Provider Identifier
1184935355
Registry record updated Oct 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1077 Issued in NE
Practice address
1100 West 2ND Street
Oshkosh, NE 69154-6152
Phone
(308) 772-3283
Fax
(308) 772-9916
NPI assigned
Jun 23, 2010
Last updated
Oct 10, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 1486 NE
Mental Health Counselor 101YM0800X 1077 NE Primary

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

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
I20150210001507 NE Practitioner - Clinical Social Worker 6204151467 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regional West Garden CountyGroup PAC ID 3971502873, 7 clinicians

Practice addresses (Care Compare)

1100 W 2ND St
Oshkosh, NE 69154-6152

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1077NEMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Regional West Garden County CurrentSince Jul 1, 2019 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

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1277251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570665600000",
    "number": "1184935355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 WEST 2ND STREET",
            "city": "OSHKOSH",
            "state": "NE",
            "postal_code": "691546152",
            "telephone_number": "308-772-3283",
            "fax_number": "308-772-9916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 WEST 2ND STREET",
            "city": "OSHKOSH",
            "state": "NE",
            "postal_code": "691546152",
            "telephone_number": "308-772-3283",
            "fax_number": "308-772-9916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEACH",
        "first_name": "CRYSTAL",
        "credential": "LIMHP, MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-23",
        "last_updated": "2019-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NE",
            "license": "1486",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "1077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oshkosh, NE

Sources for this page

Verify at the official NPI Registry.