Individual provider Active NPI

Kristen Michelle Neuhalfen, LIMHP, LICSW, LADC

  • Mental Health Counselor
  • Norfolk, NE
National Provider Identifier
1497095699
Registry record updated Feb 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1943 Issued in NE
Practice address
900 W Norfolk Ave
Norfolk, NE 68701-5006
Phone
(402) 370-3140
Fax
(402) 370-3373
NPI assigned
Feb 25, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1100 NE
Clinical Social Worker 1041C0700X 1942 NE
Mental Health Counselor 101YM0800X 1943 NE Primary

Addresses

Primary practice location

900 W Norfolk Ave
Norfolk, NE 68701-5006

Mailing address

302 W Phillip Ave
Norfolk, NE 68701-5248
Phone (402) 371-8000

Other names 1

  • Kristen Michelle Johnson Former name

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
I20210415002216 NE Practitioner - Clinical Social Worker 2668880477 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midtown Health Center IncGroup PAC ID 9133110182, 14 clinicians

Practice addresses (Care Compare)

302 W Phillip Ave
Norfolk, NE 68701-5248
Phone (402) 370-1064

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1100NEMDMental Health Counselor
1942NEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Midtown Health Center, Inc. CurrentSince Apr 1, 2021 Accepting new patients
Midtown Health Center, Inc. Mental Health CurrentSince Apr 1, 2021 Accepting new patients

Locations

310 S 3rd St
Norfolk, NE 68701
Phone (402) 644-2550

406 N Cottonwood St
Norfolk, NE 68701
Phone (402) 644-2546

302 W Phillip Ave
Norfolk, NE 68701
Phone (402) 370-1064

2500 W Norfolk Ave
Norfolk, NE 68701
Phone (402) 644-2501

1101 N 18th St
Norfolk, NE 68701
Phone (402) 644-2539

900 W Norfolk Ave
Norfolk, NE 68701
Phone (402) 370-3140

1205 S 2nd St
Norfolk, NE 68701
Phone (402) 644-2557

1106 W Phillip Ave
Norfolk, NE 68701
Phone (402) 644-2544

611 Meadow Ln
Norfolk, NE 68701
Phone (402) 644-2500

Interoperability endpoints

  • Direct secure messaging: kristen.neuhalfen.p1@direct.midtownhealthcenter.nextgenshare.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1361750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707955200000",
    "number": "1497095699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 W PHILLIP AVE",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687015248",
            "telephone_number": "402-371-8000",
            "fax_number": "402-371-0971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 W NORFOLK AVE",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687015006",
            "telephone_number": "402-370-3140",
            "fax_number": "402-370-3373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEUHALFEN",
        "first_name": "KRISTEN",
        "middle_name": "MICHELLE",
        "credential": "LIMHP, LICSW, LADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-25",
        "last_updated": "2024-02-15",
        "certification_date": "2021-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NE",
            "license": "1100",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NE",
            "license": "1942",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "1943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "JOHNSON",
            "middle_name": "MICHELLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Norfolk, NE

Sources for this page

Verify at the official NPI Registry.