Active NPI
Deanna Michelle Reeder, M.S. L.M.H.P.
- Mental Health Counselor
- Kearney, NE
National Provider Identifier
1285710509
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 1147
- Practice address
- 3000 2ND Ave Ste 104
Kearney, NE 68847-3571 - Phone
- (308) 234-5277
- NPI assigned
- Oct 29, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 1147 | NE | Primary |
Addresses
Primary practice location
3000 2ND Ave Ste 104
Kearney, NE 68847-3571
Mailing address
3811 Central Ave Ste D
Kearney, NE 68847-8173
Phone (308) 234-5277
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240319000939 | NE | Practitioner - Mental Health Counselor | 7810334422 | Practice locations: Kearney, NE |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1147 | NE | MD | Mental Health Counselor |
| 388 | NE | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162080000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1285710509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3811 CENTRAL AVE STE D",
"city": "KEARNEY",
"state": "NE",
"postal_code": "688478173",
"telephone_number": "308-234-5277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 2ND AVE STE 104",
"city": "KEARNEY",
"state": "NE",
"postal_code": "688473571",
"telephone_number": "308-234-5277"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REEDER",
"first_name": "DEANNA",
"middle_name": "MICHELLE",
"name_prefix": "Mrs.",
"credential": "M.S. L.M.H.P.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "1147",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kearney, 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.