Active NPI
Samantha Marie Gilkerson, PLMHP
- Mental Health Counselor
- Alliance, NE
National Provider Identifier
1306366273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 11187
- Practice address
- 815 Flack Ave
Alliance, NE 69301-2722 - Phone
- (308) 762-2723
- Fax
- (308) 217-4277
- NPI assigned
- Jun 22, 2017
- 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 | 11187 | NE | Primary |
Addresses
Primary practice location
815 Flack Ave
Alliance, NE 69301-2722
Mailing address
6291 Keith Rd
Alliance, NE 69301-5253
Phone (308) 760-5041
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 82-1936994 | 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 |
|---|---|---|---|
| 11187 | NE | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gilkerson Counseling & Mediation | Mental Health | Past | Accepting new patients |
Organizations & group practices 1
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": "1498089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1498089600000",
"number": "1306366273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6291 KEITH RD",
"city": "ALLIANCE",
"state": "NE",
"postal_code": "693015253",
"telephone_number": "308-760-5041",
"fax_number": "308-217-4277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "815 FLACK AVE",
"city": "ALLIANCE",
"state": "NE",
"postal_code": "693012722",
"telephone_number": "308-762-2723",
"fax_number": "308-217-4277"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILKERSON",
"first_name": "SAMANTHA",
"middle_name": "MARIE",
"credential": "PLMHP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-06-22",
"last_updated": "2017-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "11187",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "82-1936994",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Alliance, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.