Individual provider Active NPI

Kristin Joy Kirby

  • Mental Health Counselor
  • Lincoln, NE
National Provider Identifier
1487167946
Registry record updated May 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
11324 Issued in NE
Practice address
3400 Plantation Dr Ste 100
Lincoln, NE 68516-5199
Phone
(402) 360-2042
NPI assigned
Nov 7, 2017
Last updated
May 11, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Mental Health Counselor 101YM0800X 11324 NE Primary

Addresses

Primary practice location

3400 Plantation Dr Ste 100
Lincoln, NE 68516-5199

Mailing address

900 W Norfolk Ave Ste 200
Norfolk, NE 68701-5006

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
I20240903003340 NE Practitioner - Mental Health Counselor 1951840016 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11324NEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Grand Island Mental Health LLC Mental Health CurrentSince Jun 5, 2025 Accepting new patients
Providence Medical Center CurrentSince Jul 15, 2024 Accepting new patients
Providence Medical Center CurrentSince Jul 15, 2024 Accepting new patients

Locations

2815 S Locust St
Grand Island, NE 68801
Phone (308) 350-0350

1200 Providence Rd
Wayne, NE 68787
Phone (402) 375-3800

Organizations & group practices 3

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": "1510012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683763200000",
    "number": "1487167946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 W NORFOLK AVE STE 200",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687015006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 PLANTATION DR STE 100",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685165199",
            "telephone_number": "402-360-2042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRBY",
        "first_name": "KRISTIN",
        "middle_name": "JOY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-07",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "11324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.