Individual provider Active NPI

Ryan Alden Youtz, LIMHP, CMSW

  • Clinical Social Worker
  • Omaha, NE
National Provider Identifier
1295089548
Registry record updated Mar 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1690 Issued in NE
Practice address
108 N 49TH St Ste 213
Omaha, NE 68132-3147
Phone
(402) 677-2692
Fax
(531) 329-6807
NPI assigned
Nov 7, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2025

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 4918 NE
Clinical Social Worker 1041C0700X 1690 NE Primary

Addresses

Primary practice location

108 N 49TH St Ste 213
Omaha, NE 68132-3147

Mailing address

1449 S 12TH St
Omaha, NE 68108-3538
Phone (402) 677-2692

Other practice location 1

130 N 35th St
Omaha, NE 68131-2402
Phone (402) 677-2692

Other practice location 2

1449 S 12th St
Omaha, NE 68108-3538
Phone (402) 677-2692

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170228001163 NE Practitioner - Clinical Social Worker 6406131440 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4918NEMDMental Health Counselor
1690NEMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Youtz Mental Health CurrentSince Mar 1, 2017 Accepting new patients
The Youtz Group, LLC Mental Health Current Accepting new patients

Locations

108 N 49th St
Ste 213
Omaha, NE 68132
Phone (402) 677-2692

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1352246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741219200000",
    "number": "1295089548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1449 S 12TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681083538",
            "telephone_number": "402-677-2692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 N 49TH ST STE 213",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681323147",
            "telephone_number": "402-677-2692",
            "fax_number": "531-329-6807"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "130 N 35th St",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681312402",
            "country_code": "US",
            "telephone_number": "402-677-2692",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1449 S 12th St",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681083538",
            "country_code": "US",
            "telephone_number": "402-677-2692",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUTZ",
        "first_name": "RYAN",
        "middle_name": "ALDEN",
        "credential": "LIMHP, CMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-11-07",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "4918",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NE",
            "license": "1690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.