Individual provider Active NPI

Gina Krysl, PLMHP, PLADC

  • Mental Health Counselor
  • Norfolk, NE
National Provider Identifier
1366926339
Registry record updated Jun 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
3354 Issued in NE
Practice address
1800 W Pasewalk Ave Ste a
Norfolk, NE 68701-5657
Phone
(402) 500-6870
Fax
(402) 500-6871
NPI assigned
Sep 17, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X
Mental Health Counselor 101YM0800X 3354 NE Primary
Counselor 101Y00000X 11666 NE

Addresses

Primary practice location

1800 W Pasewalk Ave Ste a
Norfolk, NE 68701-5657

Mailing address

1800 W Pasewalk Ave
Norfolk, NE 68701-5656
Phone (402) 500-6870

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
I20240524003115 NE Practitioner - Mental Health Counselor 6608218342 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Brightside Health IncGroup PAC ID 9234525098, 213 clinicians

Practice addresses (Care Compare)

Omaha, NE 68104
Phone (415) 360-3348

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11666NEMDCounselor
3354NEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Brightside Health, Inc. CurrentSince May 1, 2024 Accepting new patients

Locations

2261 Market St
San Francisco, CA 94114
Phone (213) 337-4615

6311 Ames Ave
Omaha, NE 68104
Phone (402) 953-4240

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1537142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782345600000",
    "number": "1366926339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 W PASEWALK AVE",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687015656",
            "telephone_number": "402-500-6870",
            "fax_number": "402-500-6871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 W PASEWALK AVE STE A",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687015657",
            "telephone_number": "402-500-6870",
            "fax_number": "402-500-6871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRYSL",
        "first_name": "GINA",
        "credential": "PLMHP, PLADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-17",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "3354",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NE",
            "license": "11666",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, NE

Sources for this page

Verify at the official NPI Registry.