Individual provider Active NPI

Beth Lynn Ehrisman

  • Mental Health Counselor
  • Columbus, NE
National Provider Identifier
1346465192
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
8104 Issued in NE
Practice address
2282 E 32ND Ave
Columbus, NE 68601-7233
Phone
(402) 562-7500
NPI assigned
Apr 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 8104 NE Primary

Addresses

Primary practice location

2282 E 32ND Ave
Columbus, NE 68601-7233

Mailing address

110 Par Acres Rd
Beemer, NE 68716-4073
Phone (402) 528-7266

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
I20240522003534 NE Practitioner - Mental Health Counselor 1254773294 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Morningstar Counseling and Consultation PCGroup PAC ID 8729365325, 5 clinicians

Practice addresses (Care Compare)

2641 S 70TH St
Suite a
Lincoln, NE 68506-2912
Phone (402) 327-9711

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8104NEMDDentist
958NEMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Morningstar Counseling and Consultation PC CurrentSince Apr 15, 2024 Accepting new patients

Locations

2641 S 70th St
Ste A
Lincoln, NE 68506
Phone (402) 327-9711

1530 S 70th St
Ste 102
Lincoln, NE 68506
Phone (402) 327-9711

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": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346465192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 PAR ACRES RD",
            "city": "BEEMER",
            "state": "NE",
            "postal_code": "687164073",
            "telephone_number": "402-528-7266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2282 E 32ND AVE",
            "city": "COLUMBUS",
            "state": "NE",
            "postal_code": "686017233",
            "telephone_number": "402-562-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EHRISMAN",
        "first_name": "BETH",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "8104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, NE

Sources for this page

Verify at the official NPI Registry.