Active NPI
Roxana Vasilica Muilenburg, LMHP
- Counselor
- Valley, NE
National Provider Identifier
1497414064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 4380
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4380 | Other | NE | LICENSED 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
| License | State | Type | Specialty |
|---|---|---|---|
| 4380 | NE | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| True U Counseling | Current | 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.
-
- Counseling Psychologist
- Elkhorn, NE
- NPI 1750010955
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.