NPIMap

Individual provider Active NPI

Christina Broekemeier, LIMHP,LMHP,MA

  • Mental Health Counselor
  • Bellevue, NE
National Provider Identifier
1417932393
Registry record updated Dec 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
7624 Issued in NE
Practice address
1406 Fort Crook Rd S Ste 401
Bellevue, NE 68005-2980
Phone
(402) 350-1968
Fax
(402) 292-0144
NPI assigned
Dec 13, 2005
Last updated
Dec 19, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 7624 NE Primary

Addresses

Primary practice location

1406 Fort Crook Rd S Ste 401
Bellevue, NE 68005-2980

Mailing address

1406 Fort Crook Rd S Ste 401
Bellevue, NE 68005-2980
Phone (402) 350-1968

Other identifiers 2

IdentifierTypeStateIssuer
774453000OtherNEMAGELLAN MIS NUMBER
100251588-00MedicaidNE

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
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Christina Broekemeier Limhp LLC Mental Health Current Accepting new patients
Hope Valentine, LLC Mental Health Past Accepting new patients
Aldinger Counseling & Consulting, L.L.C. Mental Health Past Accepting new patients

Locations

1406 Fort Crook Rd S
Ste 401
Bellevue, NE 68005
Phone (402) 292-7712

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671408000000",
    "number": "1417932393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1406 FORT CROOK RD S STE 401",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "680052980",
            "telephone_number": "402-350-1968",
            "fax_number": "402-292-0144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1406 FORT CROOK RD S STE 401",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "680052980",
            "telephone_number": "402-350-1968",
            "fax_number": "402-292-0144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROEKEMEIER",
        "first_name": "CHRISTINA",
        "name_prefix": "Mrs.",
        "credential": "LIMHP,LMHP,MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-13",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "7624",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN MIS NUMBER",
            "identifier": "774453000",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100251588-00",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2022; 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.