Individual provider Active NPI

Katherine Mary Eisenbeil, LIMHP

  • Mental Health Counselor
  • Bellevue, NE
National Provider Identifier
1447560156
Registry record updated May 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2646 Issued in NE
Practice address
3308 Samson Way Ste 203
Bellevue, NE 68123-3235
Phone
(402) 717-7681
NPI assigned
Oct 15, 2010
Last updated
May 4, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X
Mental Health Counselor 101YM0800X 2646 NE Primary

Addresses

Primary practice location

3308 Samson Way Ste 203
Bellevue, NE 68123-3235

Mailing address

7261 Mercy Rd
Omaha, NE 68124-2311
Phone (402) 398-6248

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240502001916 NE Practitioner - Mental Health Counselor 1658711064 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bellevue Primary Healthcare PCGroup PAC ID 2860639051, 23 clinicians

Practice addresses (Care Compare)

1314 Galvin Rd S
Bellevue, NE 68005-3064
Phone (402) 292-6006

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bellevue Primary Healthcare PC CurrentSince Apr 15, 2024 Accepting new patients
Eon Care Clinicians PC PastSince Jan 4, 2026 Accepting new patients

Locations

1314 Galvin Rd S
Bellevue, NE 68005
Phone (720) 341-4162

1320 Galvin Rd S
Bellevue, NE 68005
Phone (402) 603-0839

10685 Bedford Ave
Omaha, NE 68134
Phone (402) 898-4768

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11675/brand/1/csg/1/fhir/r4

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, 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": "1287100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620086400000",
    "number": "1447560156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7261 MERCY RD",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681242311",
            "telephone_number": "402-398-6248",
            "fax_number": "402-829-8513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3308 SAMSON WAY STE 203",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "681233235",
            "telephone_number": "402-717-7681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EISENBEIL",
        "first_name": "KATHERINE",
        "middle_name": "MARY",
        "credential": "LIMHP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-15",
        "last_updated": "2021-05-04",
        "certification_date": "2021-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "2646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, NE

Sources for this page

Verify at the official NPI Registry.