Individual provider Active NPI

Merridie R Kaup, LIMHP

  • Mental Health Counselor
  • Fullerton, NE
National Provider Identifier
1477196855
Registry record updated Jun 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
3235 Issued in NE
Practice address
706 Esther St
Fullerton, NE 68638-3203
Phone
(402) 843-6494
NPI assigned
Oct 18, 2019
Last updated
Jun 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2025

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 3235 NE Primary

Addresses

Primary practice location

706 Esther St
Fullerton, NE 68638-3203

Mailing address

PO Box 699
Fullerton, NE 68638-0699
Phone (402) 843-6494

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
I20241015001408 NE Practitioner - Mental Health Counselor 1456883594 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3235NEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Kaup Counseling and Wellness LLC CurrentSince Jul 28, 2025 Accepting new patients
Blue Elephant Counseling LLC CurrentSince Aug 18, 2024 Accepting new patients

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": "1571356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750204800000",
    "number": "1477196855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 699",
            "city": "FULLERTON",
            "state": "NE",
            "postal_code": "686380699",
            "telephone_number": "402-843-6494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 ESTHER ST",
            "city": "FULLERTON",
            "state": "NE",
            "postal_code": "686383203",
            "telephone_number": "402-843-6494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUP",
        "first_name": "MERRIDIE",
        "middle_name": "R",
        "credential": "LIMHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-18",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "3235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fullerton, NE

Sources for this page

Verify at the official NPI Registry.