Individual provider Active NPI

Mandy M Meyer, LMHP, LADC

  • Mental Health Counselor
  • Kearney, NE
National Provider Identifier
1447435920
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1776 Issued in NE
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

Updated by the provider on Jul 21, 2022

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 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

LicenseStateTypeSpecialty
872NEMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mandy Meyer Counseling, L.L.C. Addiction (Substance Use Disorder) PastSince Jul 24, 2022 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.

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.

Verify at the official NPI Registry.