Active NPI
Mandy M Meyer, LMHP, LADC
- Mental Health Counselor
- Kearney, NE
National Provider Identifier
1447435920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 1776
- Practice address
- 2804 2ND Ave
Kearney, NE 68847-3500 - Phone
- (308) 293-4203
- NPI assigned
- Jan 3, 2008
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 3303 | NE | |
| Mental Health Counselor | 101YM0800X | 1776 | NE | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 872 | NE |
Addresses
Primary practice location
2804 2ND Ave
Kearney, NE 68847-3500
Mailing address
69 La Platte Rd
Kearney, NE 68845-4852
Phone (308) 293-4203
Other practice location 1
3000 2nd Ave
Suite 204
Kearney, NE 68847-3507
Phone (308) 455-3435
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 |
|---|---|---|---|
| 872 | NE | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mandy Meyer Counseling, L.L.C. | Addiction (Substance Use Disorder) | Past | Accepting new patients |
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.
-
- Mental Health Counselor
- Kearney, NE
- NPI 1063933091
Addiction (Substance Use Disorder)
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1447435920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "69 LA PLATTE RD",
"city": "KEARNEY",
"state": "NE",
"postal_code": "688454852",
"telephone_number": "308-293-4203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2804 2ND AVE",
"city": "KEARNEY",
"state": "NE",
"postal_code": "688473500",
"telephone_number": "308-293-4203"
}
],
"practiceLocations": [
{
"address_1": "3000 2nd Ave",
"address_2": "Suite 204",
"address_purpose": "LOCATION",
"city": "Kearney",
"state": "NE",
"postal_code": "688473507",
"country_code": "US",
"telephone_number": "308-455-3435",
"fax_number": "308-455-3437",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MEYER",
"first_name": "MANDY",
"middle_name": "M",
"credential": "LMHP, LADC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-03",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "3303",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "1776",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NE",
"license": "872",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kearney, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.