Individual provider Active NPI

Jamie Lynn Monfelt-Siems, M.A., LMHP

  • Mental Health Counselor
  • Beatrice, NE
National Provider Identifier
1548318207
Registry record updated Oct 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
3280 Issued in NE
Practice address
722 Court St
Beatrice, NE 68310-3926
Phone
(402) 223-3843
Fax
(402) 223-4200
NPI assigned
Jan 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 3280 NE Primary

Addresses

Primary practice location

722 Court St
Beatrice, NE 68310-3926

Mailing address

321 W D St
Wymore, NE 68466-2119
Phone (402) 520-3924

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
I20231219003302 NE Practitioner - Mental Health Counselor 0143542878 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Silver Sun Mental HealthGroup PAC ID 4082885793, 9 clinicians

Practice addresses (Care Compare)

4545 S 86TH St
Lincoln, NE 68526-9262
Phone (402) 483-6990

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
744NEMDClinical Psychologist
3280NEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Silver Sun Mental Health CurrentSince Jan 1, 2024 Accepting new patients

Locations

110 N 9th St
Beatrice, NE 68310
Phone (402) 483-6990

4545 S 86th St
Lincoln, NE 68526
Phone (402) 483-6990

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": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255910400000",
    "number": "1548318207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 W D ST",
            "city": "WYMORE",
            "state": "NE",
            "postal_code": "684662119",
            "telephone_number": "402-520-3924",
            "fax_number": "402-223-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "722 COURT ST",
            "city": "BEATRICE",
            "state": "NE",
            "postal_code": "683103926",
            "telephone_number": "402-223-3843",
            "fax_number": "402-223-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONFELT-SIEMS",
        "first_name": "JAMIE",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "M.A., LMHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2009-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "3280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beatrice, NE

Sources for this page

Verify at the official NPI Registry.