Paul Greenwell, LIMHP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

1075 Issued in NE

Practice address

919 Galvin Rd S Ste a
Bellevue, NE 68005-2207

Phone

(402) 618-5314

NPI assigned

Apr 22, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Lutheran Family Services of NE, Inc

  • Mental Health Counselor
  • Omaha, NE
  • NPI 1639121726
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701129600000",
    "number": "1538333471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2911 KELLY DR",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "681232761",
            "telephone_number": "402-618-5314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 GALVIN RD S STE A",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "680052207",
            "telephone_number": "402-618-5314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENWELL",
        "first_name": "PAUL",
        "credential": "LIMHP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-22",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "1075",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "1861",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47082303526",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Green
• Jennifer Green, LPN
• Marilyn Green
• Shernnel Green
• Mark Dennis Greenwell, O.D.
• Alondra Gregorio Gonzalez
• Freskida Griffiths
• Monique Griffs
• Amanda Grimes
• Tra'Niyah Grimes

• Mental Health Counselor in Bellevue, NE
• Providers in Bellevue, NE by specialty
• Mental Health Counselor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2023; 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.

Verify at the official NPI Registry.