Individual provider Active NPI

Berdeen K Roemmich, LADC LMPH

  • Professional Counselor
  • Omaha, NE
National Provider Identifier
1477628311
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1849 Issued in NE
Practice address
10708 Corby Cir
Omaha, NE 68164-3583
Phone
(402) 891-8300
Fax
(402) 891-8301
NPI assigned
Nov 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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 500 NE
Professional Counselor 101YP2500X 1849 NE Primary

Addresses

Primary practice location

10708 Corby Cir
Omaha, NE 68164-3583

Mailing address

10708 Corby Cir
Omaha, NE 68164-3583
Phone (402) 891-8300

Other identifiers 2

IdentifierTypeStateIssuer
84582OtherNEBLUE CROSS BLUE SHIELD
47080935726MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
500NEMDAddiction (Substance Use Disorder) Counselor
1849NEMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Samaritan Counseling Centers of the Midlands Addiction (Substance Use Disorder) Past Accepting new patients

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": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1477628311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10708 CORBY CIR",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681643583",
            "telephone_number": "402-891-8300",
            "fax_number": "402-891-8301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10708 CORBY CIR",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681643583",
            "telephone_number": "402-891-8300",
            "fax_number": "402-891-8301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROEMMICH",
        "first_name": "BERDEEN",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "LADC LMPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-22",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NE",
            "license": "500",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NE",
            "license": "1849",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "84582",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47080935726",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.