Individual provider Active NPI

Betty Louann Johnson, MA

  • Mental Health Counselor
  • Kearney, NE
National Provider Identifier
1326198243
Registry record updated Jul 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LMHP 294 Issued in NE
Practice address
2210 30TH Ave
Kearney, NE 68845-9687
Phone
(308) 440-8054
Fax
(308) 234-6604
NPI assigned
Jan 11, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LADC 305 NE
Mental Health Counselor 101YM0800X LMHP 294 NE Primary

Addresses

Primary practice location

2210 30TH Ave
Kearney, NE 68845-9687

Mailing address

PO Box 1328
Kearney, NE 68848-1328
Phone (308) 440-8054

Other identifiers 5

IdentifierTypeStateIssuer
713406000MedicaidNE
10025064900MedicaidNE
10025131100MedicaidNE
10025131000MedicaidNE
84769OtherNEBLUE CROSS PROVIDER NUMBE

Other names 1

  • Kitty Aswegan Former name

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
I20240924002986 NE Practitioner - Mental Health Counselor 3476094939 Practice locations: Gothenburg, NE

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

916 Ave F
Gothenburg, NE 69138-2060
Phone (308) 440-8054

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LADC 305NEMDAddiction (Substance Use Disorder) Counselor
LMHP 294NEMDMental Health Counselor
618NEMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Nebraska Counseling Associates Mental Health CurrentSince Jan 1, 2024 Accepting new patients
Betty L Johnson Addiction (Substance Use Disorder) CurrentSince Jun 17, 2024 Accepting new patients

Organizations & group practices 2

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": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468454400000",
    "number": "1326198243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1328",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688481328",
            "telephone_number": "308-440-8054",
            "fax_number": "308-234-6604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 30TH AVE",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688459687",
            "telephone_number": "308-440-8054",
            "fax_number": "308-234-6604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "BETTY",
        "middle_name": "LOUANN",
        "name_prefix": "Ms.",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-11",
        "last_updated": "2016-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NE",
            "license": "LADC 305",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "LMHP 294",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "713406000",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025064900",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025131100",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025131000",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER NUMBE",
            "identifier": "84769",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KITTY",
            "last_name": "ASWEGAN",
            "credential": "MA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kearney, NE

Sources for this page

Verify at the official NPI Registry.