Active NPI
Judith A Kriss, ED.D., L.M.H.P.
- Mental Health Counselor
- Lincoln, NE
National Provider Identifier
1285648410
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 170
- Practice address
- 3201 Pioneers Blvd
Suite 202
Lincoln, NE 68502-5963 - Phone
- (402) 489-9959
- Fax
- (402) 489-2219
- NPI assigned
- Jul 27, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 170 | NE | Primary |
Addresses
Primary practice location
3201 Pioneers Blvd
Suite 202
Lincoln, NE 68502-5963
Mailing address
3201 Pioneers Blvd
Suite 202
Lincoln, NE 68502-5963
Phone (402) 489-9959
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 234899 | Other | NE | MIDLANDS CHOICE |
| 80003614113 | Medicaid | NE | |
| 84623 | Other | NE | BLUE CROSS BLUE SHIELD |
| 80003614126 | Medicaid | NE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 170 | NE | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1285648410",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3201 PIONEERS BLVD",
"address_2": "SUITE 202",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685025963",
"telephone_number": "402-489-9959",
"fax_number": "402-489-2219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3201 PIONEERS BLVD",
"address_2": "SUITE 202",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685025963",
"telephone_number": "402-489-9959",
"fax_number": "402-489-2219"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRISS",
"first_name": "JUDITH",
"middle_name": "A",
"credential": "ED.D., L.M.H.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "170",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MIDLANDS CHOICE",
"identifier": "234899",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "80003614113",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "84623",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "80003614126",
"state": "NE"
}
],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.