Wyone Mental Health, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

WYONE MENTAL HEALTH, LLC

Practice address

124 W 25TH St Ste B4
Kearney, NE 68847-4473

Phone

(308) 627-9076

Fax

(308) 455-1000

NPI assigned

Nov 6, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Jacob R. Stotler, LIMHPNPI 1285252791

Title

Licensed Independent Mental Health

Phone

(307) 677-1618

Specialties & licenses 1

Addresses

Other names 1

• Wyone Mental Health Other name

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jacob R. Stotler

  • Mental Health Counselor
  • Kearney, NE
  • NPI 1285252791

  Mental Health, NE

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1699228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699833600000",
    "number": "1477326973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 W 25TH ST STE B4",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688474473",
            "telephone_number": "308-627-9076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 W 25TH ST STE B4",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688474473",
            "telephone_number": "308-627-9076",
            "fax_number": "308-455-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYONE MENTAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-06",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A",
        "authorized_official_last_name": "STOTLER",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "LICENSED INDEPENDENT MENTAL HEALTH",
        "authorized_official_telephone_number": "307-677-1618",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LIMHP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wyone Mental Health",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Krystal Mae Wright, CPSS
• Lindsey Rae Wright, LIMHP
• Travis J Wright, P.A.
• WSSH Powerback Rehabilitation Services, LLC
• Tyler James Wyant, DPT
• Gene Lamar Wyse, D.O.
• Angie X Ximena Casasbuenas
• Swetha Siddappa Yadav, MD
• Joselin Joanna Yanes-Cardenas
• Sarah Yendra, MS

• All providers in Kearney, NE
• Mental Health Counselor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.