Active NPI
Melissa Goertz, MA, LIMHP
- Counselor
- Omaha, NE
National Provider Identifier
1508483561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 3066
- Practice address
- 11717 Burt St Ste 101
Omaha, NE 68154-1500 - Phone
- (402) 480-8214
- NPI assigned
- Jun 25, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 12237 | NE | |
| Counselor | 101Y00000X | 3066 | NE | Primary |
Addresses
Primary practice location
11717 Burt St Ste 101
Omaha, NE 68154-1500
Mailing address
11717 Burt St Ste 101
Omaha, NE 68154-1500
Phone (402) 480-8214
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2018
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
11717 Burt St
Suite 101
Omaha, NE 68154-1580
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12237 | NE | MD | Counselor |
| 3066 | NE | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Melissa S Goertz LLC | Current | Accepting new patients |
Locations
11605 W Dodge Rd
Ste 4
Omaha, NE 68154
Phone (402) 881-6050
11717 Burt St
Ste 101
Omaha, NE 68154
Phone (402) 218-1471
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": "1593043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739491200000",
"number": "1508483561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11717 BURT ST STE 101",
"city": "OMAHA",
"state": "NE",
"postal_code": "681541500",
"telephone_number": "402-480-8214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11717 BURT ST STE 101",
"city": "OMAHA",
"state": "NE",
"postal_code": "681541500",
"telephone_number": "402-480-8214"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOERTZ",
"first_name": "MELISSA",
"credential": "MA, LIMHP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-06-25",
"last_updated": "2025-02-14",
"certification_date": "2025-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NE",
"license": "12237",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NE",
"license": "3066",
"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 Feb 14, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.