Individual provider Active NPI

Breanna Lynn Vera, LCSW LMHP

  • Clinical Social Worker
  • Lincoln, NE
National Provider Identifier
1306431226
Registry record updated Mar 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1982 Issued in NE
Practice address
1919 S 40TH St Ste 206
Lincoln, NE 68506-5247
Phone
(531) 289-8375
Fax
(888) 959-0716
NPI assigned
Mar 2, 2021
Last updated
Mar 2, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 1982 NE Primary

Addresses

Primary practice location

1919 S 40TH St Ste 206
Lincoln, NE 68506-5247

Mailing address

1919 S 40TH St Ste 206
Lincoln, NE 68506-5247
Phone (531) 289-8375

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, CO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210405000480 NE Practitioner - Clinical Social Worker 5395152706 Reassigns benefits to 1 organization
I20240729004063 CO Practitioner - Clinical Social Worker 5395152706 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Nebraska College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1919 S 40TH St
Suite 206
Lincoln, NE 68506-5247
Phone (531) 289-8375

4412 W Eisenhower Blvd
Loveland, CO 80537-7907
Phone (531) 289-8375

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1982NEMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Vera Counseling LLC Clinical CurrentSince Mar 10, 2021 Accepting new patients

Locations

4412 W Eisenhower Blvd
Loveland, CO 80537
Phone (531) 289-8375

1919 S 40th St
Ste 206
Lincoln, NE 68506
Phone (402) 540-2973

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, 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": "1614643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614643200000",
    "number": "1306431226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 S 40TH ST STE 206",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685065247",
            "telephone_number": "531-289-8375",
            "fax_number": "888-959-0716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 S 40TH ST STE 206",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685065247",
            "telephone_number": "531-289-8375",
            "fax_number": "888-959-0716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERA",
        "first_name": "BREANNA",
        "middle_name": "LYNN",
        "credential": "LCSW LMHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-02",
        "last_updated": "2021-03-02",
        "certification_date": "2021-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NE",
            "license": "1982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.