Individual provider Active NPI

Betty Mwende Gitari

  • Addiction (Substance Use Disorder) Counselor
  • Omaha, NE
National Provider Identifier
1316766249
Registry record updated Oct 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
P-2156 Issued in NE
Practice address
5190 Sprague PLZ # 201
Omaha, NE 68104-2886
Phone
(402) 451-3553
NPI assigned
Oct 8, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X P-2156 NE Primary

Addresses

Primary practice location

5190 Sprague PLZ # 201
Omaha, NE 68104-2886

Mailing address

17007 Hawthorne CT Apt 309
Omaha, NE 68118-2861
Phone (402) 378-5566

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services: No
  • 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
I20241212001359 NE Practitioner - Mental Health Counselor 8224564380 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Charles Drew Health Center, Inc Addiction (Substance Use Disorder) CurrentSince Nov 1, 2024 Accepting new patients
Charles Drew Health Center, Inc. CurrentSince Nov 1, 2024 Accepting new patients
Charles Drew Health Center Inc PastSince May 25, 2021 Accepting new patients

Locations

2915 Grant St
Omaha, NE 68111
Phone (402) 451-3553

Interoperability endpoints

  • Direct secure messaging: betty.gitari.p1@direct.charlesdrew.nextgenshare.com

Organizations & group practices 3

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": "1728345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1316766249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17007 HAWTHORNE CT APT 309",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681182861",
            "telephone_number": "402-378-5566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5190 SPRAGUE PLZ # 201",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681042886",
            "telephone_number": "402-451-3553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GITARI",
        "first_name": "BETTY",
        "middle_name": "MWENDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-08",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NE",
            "license": "P-2156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.