Individual provider Active NPI

Roxana Vasilica Muilenburg, LMHP

  • Counselor
  • Valley, NE
National Provider Identifier
1497414064
Registry record updated Dec 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
4380 Issued in NE
Practice address
5801 N 295TH Cir
Valley, NE 68064-7444
Phone
(402) 739-5121
NPI assigned
Dec 10, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 4380 NE Primary

Addresses

Primary practice location

5801 N 295TH Cir
Valley, NE 68064-7444

Mailing address

5801 N 295TH Cir
Valley, NE 68064-7444
Phone (402) 739-5121

Other identifiers 1

IdentifierTypeStateIssuer
4380OtherNELICENSED MENTAL HEALTH PRACTITIONER

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
4380NEMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
True U Counseling CurrentSince Jun 12, 2022 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": "1639094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639094400000",
    "number": "1497414064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5801 N 295TH CIR",
            "city": "VALLEY",
            "state": "NE",
            "postal_code": "680647444",
            "telephone_number": "402-739-5121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5801 N 295TH CIR",
            "city": "VALLEY",
            "state": "NE",
            "postal_code": "680647444",
            "telephone_number": "402-739-5121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUILENBURG",
        "first_name": "ROXANA",
        "middle_name": "VASILICA",
        "credential": "LMHP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-10",
        "last_updated": "2021-12-10",
        "certification_date": "2021-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NE",
            "license": "4380",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED MENTAL HEALTH PRACTITIONER",
            "identifier": "4380",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2021; 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.