Active NPI
Brandy Kay Gustoff, MS, LMHP, PLADC
- Mental Health Counselor
- Omaha, NE
National Provider Identifier
1205948502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 2712
- Practice address
- 5835 N 90TH St
Omaha, NE 68134-1856 - Phone
- (402) 573-5111
- Fax
- (402) 573-5019
- NPI assigned
- Aug 31, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | P278 | NE | |
| Mental Health Counselor | 101YM0800X | 2712 | NE | Primary |
Addresses
Primary practice location
5835 N 90TH St
Omaha, NE 68134-1856
Mailing address
5835 N 90TH St
Omaha, NE 68134-1856
Phone (402) 573-5111
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100250576-00 | Medicaid | NE | |
| 47083066230 | Medicaid | NE | |
| 47083066228 | Medicaid | NE | |
| 47083066226 | Medicaid | NE | |
| 85243 | Other | NE | BXBS PROVIDER NO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P278 | NE | MD | Addiction (Substance Use Disorder) Counselor |
| 2712 | NE | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1205948502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5835 N 90TH ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681341856",
"telephone_number": "402-573-5111",
"fax_number": "402-573-5019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5835 N 90TH ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681341856",
"telephone_number": "402-573-5111",
"fax_number": "402-573-5019"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUSTOFF",
"first_name": "BRANDY",
"middle_name": "KAY",
"name_prefix": "Miss",
"credential": "MS, LMHP, PLADC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NE",
"license": "P278",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "2712",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100250576-00",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47083066230",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47083066228",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47083066226",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BXBS PROVIDER NO",
"identifier": "85243",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.