Individual provider Active NPI

Karrah K Mariyappan, LMHP

  • Mental Health Counselor
  • Hastings, NE
National Provider Identifier
1417317744
Registry record updated Sep 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
5060 Issued in NE
Practice address
303 N Burlington Ave
Hastings, NE 68901-5085
Phone
(402) 834-0884
Fax
(888) 972-3670
NPI assigned
Feb 29, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 10803 NE
Mental Health Counselor 101YM0800X 5060 NE Primary

Addresses

Primary practice location

303 N Burlington Ave
Hastings, NE 68901-5085

Mailing address

303 N Burlington Ave Ste C
Hastings, NE 68901-5085
Phone (402) 834-0884

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

LicenseStateTypeSpecialty
10803NEMDMental Health Counselor
5060NEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Jessica Hunt, Limhp, LLC Past Accepting new patients
Revive Counseling Past Accepting new patients

Organizations & group practices 2

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": "1456704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536710400000",
    "number": "1417317744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 N BURLINGTON AVE STE C",
            "city": "HASTINGS",
            "state": "NE",
            "postal_code": "689015085",
            "telephone_number": "402-834-0884",
            "fax_number": "888-972-3670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 N BURLINGTON AVE",
            "city": "HASTINGS",
            "state": "NE",
            "postal_code": "689015085",
            "telephone_number": "402-834-0884",
            "fax_number": "888-972-3670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARIYAPPAN",
        "first_name": "KARRAH",
        "middle_name": "K",
        "credential": "LMHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-29",
        "last_updated": "2018-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "10803",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "5060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hastings, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.