Individual provider Active NPI

Markie Kidd

  • Addiction (Substance Use Disorder) Counselor
  • Lincoln, NE
National Provider Identifier
1255915682
Registry record updated Mar 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
1577 Issued in NE
Practice address
233 S 13TH St Ste 1111
Lincoln, NE 68508-2003
Phone
(323) 522-2218
NPI assigned
May 11, 2021
Last updated
Mar 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 26R503 IA
Addiction (Substance Use Disorder) Counselor 101YA0400X 162974 OH
Addiction (Substance Use Disorder) Counselor 101YA0400X 1577 NE Primary

Addresses

Primary practice location

233 S 13TH St Ste 1111
Lincoln, NE 68508-2003

Mailing address

4331 Leavenworth St
Omaha, NE 68105-1031
Phone (806) 681-3102

Other practice location 1

507 Richland Ave Ste 105
Athens, OH 45701-3700
Phone (323) 522-2218

Other practice location 2

699 Walnut St
Des Moines, IA 50309-3929
Phone (323) 522-2218

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
26R503IAMDAddiction (Substance Use Disorder) Counselor
162974OHMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Affect Provider Group, P.S.C. PastSince Jan 26, 2026 Accepting new patients
Affect Therapeutics Inc Addiction (Substance Use Disorder) Past Accepting new patients
Affect Provider Group, P.S.C. Past Accepting new patients

Organizations & group practices 3

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": "1620691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774828800000",
    "number": "1255915682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4331 LEAVENWORTH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681051031",
            "telephone_number": "806-681-3102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 S 13TH ST STE 1111",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685082003",
            "telephone_number": "323-522-2218"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "507 Richland Ave Ste 105",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "OH",
            "postal_code": "457013700",
            "country_code": "US",
            "telephone_number": "323-522-2218",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "699 Walnut St",
            "address_purpose": "LOCATION",
            "city": "Des Moines",
            "state": "IA",
            "postal_code": "503093929",
            "country_code": "US",
            "telephone_number": "323-522-2218",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIDD",
        "first_name": "MARKIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-11",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IA",
            "license": "26R503",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "162974",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NE",
            "license": "1577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2026; 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.