Individual provider Active NPI

Bryce D Riessland, LIMHP, LADC

  • Mental Health Counselor
  • Kearney, NE
National Provider Identifier
1467632240
Registry record updated May 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LIMHP-1982 Issued in NE
Practice address
124 W 46TH St
Kearney, NE 68847-8348
Phone
(308) 440-5294
Fax
(888) 325-2311
NPI assigned
Nov 8, 2007
Last updated
May 23, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LADC-711 NE
Mental Health Counselor 101YM0800X LIMHP-1982 NE Primary

Addresses

Primary practice location

124 W 46TH St
Kearney, NE 68847-8348

Mailing address

124 W 46TH St
Kearney, NE 68847-8348
Phone (308) 440-5294

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
I20241123000229 NE Practitioner - Mental Health Counselor 7214462530 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Nebraska College of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

124 W 46TH St
Suite 105
Kearney, NE 68847-8348
Phone (308) 440-5294

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LADC-711NEMDAddiction (Substance Use Disorder) Counselor
LIMHP-1982NEMDMental Health Counselor
1982NEMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Bryce Riessland Counseling LLC CurrentSince Oct 19, 2024 Accepting new patients

Locations

124 W 46th St
Ste 105
Kearney, NE 68847
Phone (308) 440-0948

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, 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": "1194480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716422400000",
    "number": "1467632240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 W 46TH ST",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688478348",
            "telephone_number": "308-440-5294",
            "fax_number": "888-325-2311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 W 46TH ST",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688478348",
            "telephone_number": "308-440-5294",
            "fax_number": "888-325-2311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIESSLAND",
        "first_name": "BRYCE",
        "middle_name": "D",
        "credential": "LIMHP, LADC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-08",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NE",
            "license": "LADC-711",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "LIMHP-1982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kearney, NE

Sources for this page

Verify at the official NPI Registry.