Active NPI
Reis Dylan Pieper
- Mental Health Counselor
- Omaha, NE
National Provider Identifier
1427739366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 13747
- Practice address
- 10845 Harney St
Omaha, NE 68154-2639 - Phone
- (402) 916-9421
- Fax
- (402) 999-8221
- NPI assigned
- Jul 25, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 13747 | NE | Primary |
Addresses
Primary practice location
10845 Harney St
Omaha, NE 68154-2639
Mailing address
10845 Harney St
Omaha, NE 68154-2639
Phone (402) 916-9421
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251224001128 | NE | Practitioner - Mental Health Counselor | 9931694155 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Citycare Counseling Inc
Practice addresses (Care Compare)
10845 Harney St
Omaha, NE 68154-2637
Phone (402) 916-9421
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13747 | NE | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Citycare Counseling, Inc | Mental Health | Current | Accepting new patients |
Locations
10845 Harney St
Ste 200
Omaha, NE 68154
10845 Harney St
Omaha, NE 68154
Phone (402) 330-3360
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": "1690243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690243200000",
"number": "1427739366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10845 HARNEY ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681542639",
"telephone_number": "402-916-9421",
"fax_number": "402-999-8221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10845 HARNEY ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681542639",
"telephone_number": "402-916-9421",
"fax_number": "402-999-8221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIEPER",
"first_name": "REIS",
"middle_name": "DYLAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-07-25",
"last_updated": "2023-07-25",
"certification_date": "2023-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "13747",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.