Alison Defrance Widtfeldt

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

4607 Issued in NE

Practice address

11920 Burt St Ste 190
Omaha, NE 68154-1573

Phone

(402) 965-4004

NPI assigned

May 29, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NE, IA2 enrollments

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 2

Specialty

Mental Health Counselor

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Alegent Creighton HealthGroup PAC ID 1850285255, shared by 26 NPIs, 137 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Alegent Creighton Health

  • Internal Medicine Physician
  • Omaha, NE
  • NPI 1033288923
  Medicare reassignment NPD
• Alegent Creighton Health

  • Psychiatry Physician
  • Council Bluffs, IA
  • NPI 1770922437

  Mental Health

  Medicare reassignment NPD
• Alegent Creighton Health

  • Community/Retail Pharmacy
  • Lincoln, NE
  • NPI 1598423220
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1401321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442966400000",
    "number": "1457763138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 REDWOOD DR",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515038479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11920 BURT ST STE 190",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681541573",
            "telephone_number": "402-965-4004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEFRANCE WIDTFELDT",
        "first_name": "ALISON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-29",
        "last_updated": "2015-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "001358",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "4607",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NE",
            "license": "2235",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diedrian Deer
• Kelsey L Deertz, DPT
• Robyn Deever
• Definitive Vision LLC
• Emily Rogers Defouw
• Lily E Defrank, PCMSW, PLMHP
• Delfino Degante
• Jesus Degante
• Litzi Degante
• Yao Degbe

• Mental Health Counselor in Omaha, NE
• Providers in Omaha, NE by specialty
• Mental Health Counselor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2015; 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.

Verify at the official NPI Registry.