Active NPI
Kylie Surmeier
- Mental Health Counselor
- Lincoln, NE
National Provider Identifier
1386174233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 3295
- Practice address
- 550 N 19TH St
Lincoln, NE 68588-0046 - Phone
- (402) 472-7450
- NPI assigned
- Jun 14, 2017
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Mental Health Counselor | 101YM0800X | 3295 | NE | Primary |
Addresses
Primary practice location
550 N 19TH St
Lincoln, NE 68588-0046
Mailing address
515 S 12TH St
Beatrice, NE 68310-4545
Phone (308) 440-1432
Other practice location 1
3532 W Capital Ave
Grand Island, NE 68803-1205
Phone (308) 381-7487
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3295 | NE | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Resources of Greater Nebraska, P.C. | Current | Accepting new patients | |
| Family Resources of Greater Nebraska PC | Mental Health | Current | Accepting new patients |
| Alivation Health, LLC | Past | Accepting new patients |
Locations
3532 W Capital Ave
Grand Island, NE 68803
Phone (308) 381-7487
Organizations & group practices 3
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
- Grand Island, NE
- NPI 1205838083
-
- Counselor
- Ord, NE
- NPI 1174823058
-
- Psychiatry Physician
- Lincoln, NE
- NPI 1710917448
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686009600000",
"number": "1386174233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 S 12TH ST",
"city": "BEATRICE",
"state": "NE",
"postal_code": "683104545",
"telephone_number": "308-440-1432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 N 19TH ST",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685880046",
"telephone_number": "402-472-7450"
}
],
"practiceLocations": [
{
"address_1": "3532 W Capital Ave",
"address_purpose": "LOCATION",
"city": "Grand Island",
"state": "NE",
"postal_code": "688031205",
"country_code": "US",
"telephone_number": "308-381-7487",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SURMEIER",
"first_name": "KYLIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-14",
"last_updated": "2023-06-06",
"certification_date": "2023-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "3295",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.