Active NPI
Betty Louann Johnson, MA
- Mental Health Counselor
- Kearney, NE
National Provider Identifier
1326198243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LMHP 294
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 713406000 | Medicaid | NE | |
| 10025064900 | Medicaid | NE | |
| 10025131100 | Medicaid | NE | |
| 10025131000 | Medicaid | NE | |
| 84769 | Other | NE | BLUE CROSS PROVIDER NUMBE |
Other names 1
- Kitty Aswegan
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| LADC 305 | NE | MD | Addiction (Substance Use Disorder) Counselor |
| LMHP 294 | NE | MD | Mental Health Counselor |
| 618 | NE | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nebraska Counseling Associates | Mental Health | Current | Accepting new patients |
| Betty L Johnson | Addiction (Substance Use Disorder) | Current | 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.
-
- Mental Health Counselor
- Gothenburg, NE
- NPI 1629555107
Addiction (Substance Use Disorder)
-
- Mental Health Counselor
- Gothenburg, NE
- NPI 1336910959
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.