Individual provider Active NPI

Nicole Lynne Krantz

  • Social Worker
  • Kearney, NE
National Provider Identifier
1508180548
Registry record updated Jun 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
1434 Issued in NE
Practice address
2908 W 39TH St Ste B
Kearney, NE 68845
Phone
(308) 237-0391
NPI assigned
Mar 19, 2010
Last updated
Jun 26, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6701 NE
Social Worker 104100000X 1434 NE Primary

Addresses

Primary practice location

2908 W 39TH St Ste B
Kearney, NE 68845

Mailing address

1005 W 9TH St PL
Kearney, NE 68845-7374
Phone (308) 440-0869

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
I20140904000669 NE Practitioner - Clinical Social Worker 8820216864 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Insight Counseling and Recovery LLCGroup PAC ID 5496014334, 4 clinicians

Practice addresses (Care Compare)

2908 W 39TH St
Suite B
Kearney, NE 68845-1245
Phone (308) 237-0391

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6701NEMDSocial Worker
1434NEMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Insight Counseling and Recovery, LLC CurrentSince Jan 29, 2018 Accepting new patients
New Roots Therapy and Consultation LLC CurrentSince Feb 26, 2024 Accepting new patients

Locations

2908 W 39th St
Ste B
Kearney, NE 68845
Phone (308) 237-0391

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": "1268956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529971200000",
    "number": "1508180548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 W 9TH ST PL",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688457374",
            "telephone_number": "308-440-0869",
            "fax_number": "308-234-5652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2908 W 39TH ST STE B",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "68845",
            "telephone_number": "308-237-0391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRANTZ",
        "first_name": "NICOLE",
        "middle_name": "LYNNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-19",
        "last_updated": "2018-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NE",
            "license": "6701",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NE",
            "license": "1434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kearney, NE

Sources for this page

Verify at the official NPI Registry.