Organization Active NPI

Blue Valley Behavioral Health Inc

  • Community/Behavioral Health Agency
  • Beatrice, NE
National Provider Identifier
1316019508
Registry record updated Aug 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
BLUE VALLEY BEHAVIORAL HEALTH INC
Practice address
1123 N 9TH St
Beatrice, NE 68310-2041
Phone
(402) 228-3386
Fax
(402) 228-2004
NPI assigned
Nov 14, 2006
Last updated
Aug 27, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2021

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

Authorized official

Name
Mr. Jonathan C Day, LIMHP LCSWNPI 1184717209
Title
Executive Director
Phone
(402) 228-3386

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X SATC 113 NE
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1123 N 9TH St
Beatrice, NE 68310-2041

Mailing address

1123 N 9TH St
Beatrice, NE 68310-2041
Phone (402) 228-3386

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040109000728 NE Part B Supplier - Clinic/Group Practice 3971403668 Receives reassigned benefits from 37 practitioners
Practice locations: Lincoln, NE; York, NE; Wahoo, NE; Seward, NE; Pawnee City, NE; Nebraska City, NE; Geneva, NE; Auburn, NE…

National Provider Directory

National Provider Directory

Locations

1121 15th St
Auburn, NE 68305
Phone (402) 274-4373

820 Central Ave
Ste 4
Auburn, NE 68305
Phone (402) 274-4373

1121 N 10th St
Beatrice, NE 68310
Phone (402) 228-3386

1123 N 9th St
Beatrice, NE 68310
Phone (402) 228-3386

1212 Ivy Ave
Ste 2
Crete, NE 68333
Phone (402) 826-2000

225 E 9th St
#1
Crete, NE 68333
Phone (402) 826-2000

367 E St
David City, NE 68632
Phone (402) 367-4216

103 E 35th
Ste A
Falls City, NE 68355
Phone (402) 245-4458

141 N 4th St
Hebron, NE 68370
Phone (402) 759-4761

2935 Pine Lake Rd
Ste F
Lincoln, NE 68516
Phone (402) 261-4017

1903 4th Corso
Nebraska City, NE 68410
Phone (402) 873-5505

459 S 6th St
Ste 1
Seward, NE 68434
Phone (402) 643-3343

355 E 4th St
Wahoo, NE 68066
Phone (402) 443-4414

543 N Linden St
Wahoo, NE 68066
Phone (402) 443-4414

722 S Lincoln Ave
Ste 1
York, NE 68467
Phone (402) 362-6128

Practitioners & affiliated clinicians

Practitioners 144

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 144

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630022400000",
    "number": "1316019508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1123 N 9TH ST",
            "city": "BEATRICE",
            "state": "NE",
            "postal_code": "683102041",
            "telephone_number": "402-228-3386",
            "fax_number": "402-228-2004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1123 N 9TH ST",
            "city": "BEATRICE",
            "state": "NE",
            "postal_code": "683102041",
            "telephone_number": "402-228-3386",
            "fax_number": "402-228-2004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE VALLEY BEHAVIORAL HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2021-08-27",
        "certification_date": "2021-08-27",
        "status": "A",
        "authorized_official_last_name": "DAY",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "402-228-3386",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LIMHP LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NE",
            "license": "SATC 113",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beatrice, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.