Active NPI
Ariel Lachandra Derr, PLMHP, NCC
- Mental Health Counselor
- Grand Island, NE
National Provider Identifier
1487896882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 8787
- Practice address
- 914 Baumann Dr
Grand Island, NE 68803-4401 - Phone
- (308) 385-5250
- NPI assigned
- Mar 31, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 8787 | NE | Primary |
Addresses
Primary practice location
914 Baumann Dr
Grand Island, NE 68803-4401
Mailing address
914 Baumann Dr
Grand Island, NE 68803-4401
Phone (308) 385-5250
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231117002680 | NE | Practitioner - Mental Health Counselor | 9931557634 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Blue Valley Behavioral Health Inc
Practice addresses (Care Compare)
1123 N 9TH St
Beatrice, NE 68310-2041
Phone (402) 228-3386
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blue Valley Behavioral Health Inc | Current | Accepting new patients |
Locations
1123 N 9th St
Beatrice, NE 68310
Phone (402) 228-3386
3901 Normal Blvd
Ste 201
Lincoln, NE 68506
Phone (402) 261-4017
1903 4th Corso
Nebraska City, NE 68410
Phone (402) 873-5505
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": "1238457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1249948800000",
"number": "1487896882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "914 BAUMANN DR",
"city": "GRAND ISLAND",
"state": "NE",
"postal_code": "688034401",
"telephone_number": "308-385-5250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "914 BAUMANN DR",
"city": "GRAND ISLAND",
"state": "NE",
"postal_code": "688034401",
"telephone_number": "308-385-5250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DERR",
"first_name": "ARIEL",
"middle_name": "LACHANDRA",
"name_prefix": "Mrs.",
"credential": "PLMHP, NCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-31",
"last_updated": "2009-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "8787",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Island, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.