Individual provider Active NPI

Amy Vanderpool, LIMHP

  • Mental Health Counselor
  • Lincoln, NE
National Provider Identifier
1225486004
Registry record updated Jan 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2799 Issued in NE
Practice address
1145 High St
Lincoln, NE 68502-4440
Phone
(402) 423-6464
Fax
(402) 423-6465
NPI assigned
Jun 2, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2024

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 2799 NE Primary

Addresses

Primary practice location

1145 High St
Lincoln, NE 68502-4440

Mailing address

2750 S 34TH St
Lincoln, NE 68506-3210
Phone (402) 203-0880

Other practice location 1

3883 Normal Blvd Ste 204
Lincoln, NE 68506-5218
Phone (531) 249-2324

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective May 19, 2026 through May 19, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2799NEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Prismatic Approach Therapy & Wellness, LLC Mental Health CurrentSince Jan 7, 2024 Accepting new patients

Locations

3883 Normal Blvd
Ste 204
Lincoln, NE 68506
Phone (402) 483-8591

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, 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": "1464825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704412800000",
    "number": "1225486004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2750 S 34TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685063210",
            "telephone_number": "402-203-0880",
            "fax_number": "402-933-9998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 HIGH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685024440",
            "telephone_number": "402-423-6464",
            "fax_number": "402-423-6465"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3883 Normal Blvd Ste 204",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "NE",
            "postal_code": "685065218",
            "country_code": "US",
            "telephone_number": "531-249-2324",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANDERPOOL",
        "first_name": "AMY",
        "credential": "LIMHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-02",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "2799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.