Individual provider Active NPI

Amanda L Vanlaningham, LIMHP, LADC

  • Mental Health Counselor
  • Crete, NE
National Provider Identifier
1417268178
Registry record updated Jan 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1085 Issued in NE
Practice address
1212 Ivy Ave
Suite 2
Crete, NE 68333-2301
Phone
(402) 826-2000
Fax
(402) 826-2655
NPI assigned
Jun 28, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 4087 NE
Addiction (Substance Use Disorder) Counselor 101YA0400X 997 NE
Mental Health Counselor 101YM0800X 1085 NE Primary

Addresses

Primary practice location

1212 Ivy Ave
Suite 2
Crete, NE 68333-2301

Mailing address

1010 Autumn Rd
Hickman, NE 68372-1423

Other identifiers 6

IdentifierTypeStateIssuer
10025207700MedicaidNE
10025208200MedicaidNE
47052851505MedicaidNE
10025207900MedicaidNE
47052851508MedicaidNE
47052851510MedicaidNE

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
I20231128001747 NE Practitioner - Mental Health Counselor 1052769395 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Blue Valley Behavioral Health IncGroup PAC ID 3971403668, 32 clinicians

Practice addresses (Care Compare)

1123 N 9TH St
Beatrice, NE 68310-2041
Phone (402) 228-3386

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
997NEMDAddiction (Substance Use Disorder) Counselor
4087NEMDDentist
1085NEMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Valley Behavioral Health Inc CurrentSince Jan 1, 2024 Accepting new patients

Locations

820 Central Ave
Ste 4
Auburn, NE 68305
Phone (402) 274-4373

1123 N 9th St
Beatrice, NE 68310
Phone (402) 228-3386

1212 Ivy Ave
Ste 2
Crete, NE 68333
Phone (402) 826-2000

103 E 35th
Ste A
Falls City, NE 68355
Phone (402) 245-4458

3901 Normal Blvd
Ste 201
Lincoln, NE 68506
Phone (402) 261-4017

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": "1277683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390348800000",
    "number": "1417268178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 AUTUMN RD",
            "city": "HICKMAN",
            "state": "NE",
            "postal_code": "683721423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 IVY AVE",
            "address_2": "SUITE 2",
            "city": "CRETE",
            "state": "NE",
            "postal_code": "683332301",
            "telephone_number": "402-826-2000",
            "fax_number": "402-826-2655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANLANINGHAM",
        "first_name": "AMANDA",
        "middle_name": "L",
        "credential": "LIMHP, LADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-28",
        "last_updated": "2014-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "4087",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NE",
            "license": "997",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "1085",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025207700",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025208200",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47052851505",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025207900",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47052851508",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47052851510",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crete, NE

Sources for this page

Verify at the official NPI Registry.