Individual provider Active NPI

Michael Dean Williamson, MSE, LIMHP, LPC

  • Mental Health Counselor
  • O'Neill, NE
National Provider Identifier
1316233976
Registry record updated Dec 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1899 Issued in NE
Practice address
614 N 4TH St Ste 108
Oneill, NE 68763-1317
Phone
(402) 336-1306
NPI assigned
Jun 22, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 1899 NE Primary

Addresses

Primary practice location

614 N 4TH St Ste 108
Oneill, NE 68763-1317

Mailing address

86314 508TH Ave
Orchard, NE 68764-5044
Phone (402) 336-7172

Other practice location 1

86314 508th Ave
Orchard, NE 68764-5044
Phone (402) 336-7172

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
I20240827004511 NE Practitioner - Mental Health Counselor 3870032493 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

614 N 4TH St
Suite 108
Oneill, NE 68763-1317
Phone (402) 336-1306

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2443NEMDSocial Worker
1840NEMDObstetrics & Gynecology Physician
1899NEMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ally Counseling Services, LLC CurrentSince Jul 23, 2024 Accepting new patients

Locations

614 N 4th St
Ste 108
Oneill, NE 68763
Phone (402) 336-1306

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": "1308700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609200000000",
    "number": "1316233976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86314 508TH AVE",
            "city": "ORCHARD",
            "state": "NE",
            "postal_code": "687645044",
            "telephone_number": "402-336-7172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 N 4TH ST STE 108",
            "city": "ONEILL",
            "state": "NE",
            "postal_code": "687631317",
            "telephone_number": "402-336-1306"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "86314 508th Ave",
            "address_purpose": "LOCATION",
            "city": "Orchard",
            "state": "NE",
            "postal_code": "687645044",
            "country_code": "US",
            "telephone_number": "402-336-7172",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMSON",
        "first_name": "MICHAEL",
        "middle_name": "DEAN",
        "credential": "MSE, LIMHP, LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-22",
        "last_updated": "2020-12-29",
        "certification_date": "2020-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "1899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in O'Neill, NE

Sources for this page

Verify at the official NPI Registry.