Individual provider Active NPI

Taylor Dibble-Townsend, PLMHP

  • Mental Health Counselor
  • Omaha, NE
National Provider Identifier
1215524673
Registry record updated Dec 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
10826 Old Mill Rd Ste 103
Omaha, NE 68154-2660
Phone
(402) 690-5675
NPI assigned
Dec 30, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

10826 Old Mill Rd Ste 103
Omaha, NE 68154-2660

Mailing address

10826 Old Mill Rd Ste 103
Omaha, NE 68154-2660

Other identifiers 1

IdentifierTypeStateIssuer
12436OtherNEPLHMP

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://wc-wfe-104.advancedmd.com/WebClinical/TopPage.aspx?launch=1 Health Information Exchange (HIE)

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
I20250604002463 NE Practitioner - Mental Health Counselor 0648789230 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cord Where Science Meets Connection LLCGroup PAC ID 7810427838, 10 clinicians

Practice addresses (Care Compare)

13304 W Ctr Rd
Suite 126
Omaha, NE 68144-3457
Phone (402) 256-7913

1900 E Military Ave
Suite 212
Fremont, NE 68025-5433
Phone (402) 256-7913

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cord Where Science Meets Connection LLC Mental Health CurrentSince Mar 29, 2025 Accepting new patients

Locations

1900 E Military Ave
Ste 212
Fremont, NE 68025
Phone (402) 214-5641

13304 W Center Rd
Ste 126
Omaha, NE 68144
Phone (402) 256-7913

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": "1609286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609286400000",
    "number": "1215524673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10826 OLD MILL RD STE 103",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681542660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10826 OLD MILL RD STE 103",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681542660",
            "telephone_number": "402-690-5675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIBBLE-TOWNSEND",
        "first_name": "TAYLOR",
        "credential": "PLMHP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-30",
        "last_updated": "2020-12-30",
        "certification_date": "2020-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PLHMP",
            "identifier": "12436",
            "state": "NE"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://wc-wfe-104.advancedmd.com/WebClinical/TopPage.aspx?launch=1",
            "affiliation": "N",
            "endpointDescription": "AdvancedMD EHR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "10826 Old Mill Rd Ste 103",
            "city": "Omaha",
            "state": "NE",
            "country_code": "US",
            "postal_code": "681542660",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.