Individual provider Active NPI

Teresa Remick, MSW, CSW, LMHP

  • Mental Health Counselor
  • Niobrara, NE
National Provider Identifier
1255697801
Registry record updated Apr 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
3893 Issued in NE
Practice address
110 S Visiting Eagle St
Niobrara, NE 68760-7201
Phone
(402) 857-2300
Fax
(402) 857-2315
NPI assigned
Apr 9, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 3893 NE Primary
Social Worker 104100000X CERTIFICATE # 2457 NE

Addresses

Primary practice location

110 S Visiting Eagle St
Niobrara, NE 68760-7201

Mailing address

110 S Visiting Eagle St
Niobrara, NE 68760-7201
Phone (402) 857-2300

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

State licenses

LicenseStateTypeSpecialty
CERTIFICATE # 2457NEMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1333929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333929600000",
    "number": "1255697801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 S VISITING EAGLE ST",
            "city": "NIOBRARA",
            "state": "NE",
            "postal_code": "687607201",
            "telephone_number": "402-857-2300",
            "fax_number": "402-857-2315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 S VISITING EAGLE ST",
            "city": "NIOBRARA",
            "state": "NE",
            "postal_code": "687607201",
            "telephone_number": "402-857-2300",
            "fax_number": "402-857-2315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REMICK",
        "first_name": "TERESA",
        "credential": "MSW, CSW, LMHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-09",
        "last_updated": "2012-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "3893",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NE",
            "license": "CERTIFICATE # 2457",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niobrara, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.