Individual provider Active NPI

Tracy Muller, LIMHP

  • Mental Health Counselor
  • Bennington, NE
National Provider Identifier
1457753121
Registry record updated Jun 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1670 Issued in NE
Practice address
16373 Grebe St
Bennington, NE 68007-1209
Phone
(402) 397-9866
NPI assigned
Sep 24, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2021

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 1670 NE Primary

Addresses

Primary practice location

16373 Grebe St
Bennington, NE 68007-1209

Mailing address

16373 Grebe St
Bennington, NE 68007-1209
Phone (402) 301-7367

Other identifiers 1

IdentifierTypeStateIssuer
98114335MedicaidNE

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
I20260402002349 NE Practitioner - Mental Health Counselor 1759866197 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5402 Northwest Dr
Omaha, NE 68104-2844

9802 Nicholas St
Suite 305
Omaha, NE 68114-2106

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1670NEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Tracy Muller Counseling Services, LLC Mental Health Current Accepting new patients

Locations

9802 Nicholas St
Ste 305
Omaha, NE 68114
Phone (402) 397-2300

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": "1411516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622592000000",
    "number": "1457753121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16373 GREBE ST",
            "city": "BENNINGTON",
            "state": "NE",
            "postal_code": "680071209",
            "telephone_number": "402-301-7367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16373 GREBE ST",
            "city": "BENNINGTON",
            "state": "NE",
            "postal_code": "680071209",
            "telephone_number": "402-397-9866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLER",
        "first_name": "TRACY",
        "credential": "LIMHP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-24",
        "last_updated": "2021-06-02",
        "certification_date": "2021-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "1670",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "98114335",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bennington, NE

Sources for this page

Verify at the official NPI Registry.