Organization Active NPI

Youtz

  • Clinical Social Worker
  • Omaha, NE
National Provider Identifier
1356880249
Registry record updated Mar 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1690 Issued in NE
Legal business name
YOUTZ
Practice address
108 N 49TH St Ste 213
Omaha, NE 68132-3147
Phone
(402) 677-2692
Fax
(531) 329-6807
NPI assigned
Feb 13, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2025

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

Authorized official

Name
Mr. Ryan Alden Youtz, LIMHP, CMSWNPI 1295089548
Title
Mental Health Therapist
Phone
(402) 677-2692

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X 4918 NE
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X 1690 NE Primary

Addresses

Primary practice location

108 N 49TH St Ste 213
Omaha, NE 68132-3147

Mailing address

1449 S 12TH St
Omaha, NE 68108-3538
Phone (402) 677-2692

Other practice location 1

1449 S 12th St
Omaha, NE 68108-3538
Phone (402) 677-2692

Other practice location 2

130 N 35th St
Omaha, NE 68131-2402
Phone (402) 677-2692

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170314001377 NE Part B Supplier - Clinic/Group Practice 5698050631 Receives reassigned benefits from 1 practitioner
Practice locations: Omaha, NE

National Provider Directory

National Provider Directory

Locations

108 N 49th St
Ste 213
Omaha, NE 68132
Phone (402) 677-2692

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1486944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741219200000",
    "number": "1356880249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1449 S 12TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681083538",
            "telephone_number": "402-677-2692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 N 49TH ST STE 213",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681323147",
            "telephone_number": "402-677-2692",
            "fax_number": "531-329-6807"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1449 S 12th St",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681083538",
            "country_code": "US",
            "telephone_number": "402-677-2692",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "130 N 35th St",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681312402",
            "country_code": "US",
            "telephone_number": "402-677-2692",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "YOUTZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-13",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A",
        "authorized_official_last_name": "YOUTZ",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "ALDEN",
        "authorized_official_title_or_position": "MENTAL HEALTH THERAPIST",
        "authorized_official_telephone_number": "402-677-2692",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LIMHP, CMSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "4918",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NE",
            "license": "1690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.