Active NPI
Magan Dolan, LIMHP
- Mental Health Counselor
- Kearney, NE
National Provider Identifier
1346993417
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 2484
- Practice address
- 3720 A Ave Ste E
Kearney, NE 68847-8169 - Phone
- (308) 234-5644
- NPI assigned
- Jan 30, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 2484 | NE | Primary |
Addresses
Primary practice location
3720 A Ave Ste E
Kearney, NE 68847-8169
Mailing address
3720 A Ave Ste E
Kearney, NE 68847-8169
Phone (308) 234-5644
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 |
|---|---|---|---|---|
| I20240314001409 | NE | Practitioner - Mental Health Counselor | 2062858871 | Practice locations: Kearney, NE |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2121 B Ave
Suite 2
Kearney, NE 68847-5475
Phone (308) 336-8639
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2484 | NE | MD | Psychiatric Hospital |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707955200000",
"number": "1346993417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3720 A AVE STE E",
"city": "KEARNEY",
"state": "NE",
"postal_code": "688478169",
"telephone_number": "308-234-5644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3720 A AVE STE E",
"city": "KEARNEY",
"state": "NE",
"postal_code": "688478169",
"telephone_number": "308-234-5644"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOLAN",
"first_name": "MAGAN",
"credential": "LIMHP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-01-30",
"last_updated": "2024-02-15",
"certification_date": "2024-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "2484",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Feb 15, 2024; 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.