Active NPI
Kristin L Maher, LIMHP
- Mental Health Counselor
- Omaha, NE
National Provider Identifier
1497420889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 2066
- Practice address
- 5330 N 97TH Ave
Omaha, NE 68134-1614 - Phone
- (402) 813-1133
- NPI assigned
- Aug 9, 2021
- Last updated
- Aug 9, 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 2066 | NE | Primary |
Addresses
Primary practice location
5330 N 97TH Ave
Omaha, NE 68134-1614
Mailing address
5330 N 97TH Ave
Omaha, NE 68134-1614
Phone (402) 813-1133
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2066 | NE | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alegent Creighton Health | Current | Accepting new patients | |
| Alegent Creighton Health | Current | Accepting new patients |
Locations
2771 Solution Ctr
Chicago, IL 60677
7101 Newport Ave
Omaha, NE 68152
Phone (402) 572-2905
7261 Mercy Rd
Omaha, NE 68124
Phone (402) 398-6248
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, 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": "1628467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628467200000",
"number": "1497420889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5330 N 97TH AVE",
"city": "OMAHA",
"state": "NE",
"postal_code": "681341614",
"telephone_number": "402-813-1133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5330 N 97TH AVE",
"city": "OMAHA",
"state": "NE",
"postal_code": "681341614",
"telephone_number": "402-813-1133"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAHER",
"first_name": "KRISTIN",
"middle_name": "L",
"credential": "LIMHP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-08-09",
"last_updated": "2021-08-09",
"certification_date": "2021-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "2066",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.