Active NPI
Claudia Jan Davis, LMHP CPC
- Mental Health Counselor
- Wahoo, NE
National Provider Identifier
1548339302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 1084
- Practice address
- 543 N Linden St
Blue Valley Behavioral Health
Wahoo, NE 68066-1960 - Phone
- (402) 228-3386
- Fax
- (402) 443-4414
- NPI assigned
- Nov 7, 2006
- Last updated
- Apr 1, 2008
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 1084 | NE | Primary |
| Professional Counselor | 101YP2500X | 847 | NE |
Addresses
Primary practice location
543 N Linden St
Blue Valley Behavioral Health
Wahoo, NE 68066-1960
Mailing address
14001 NW 126 St
Malcolm, NE 68402
Phone (402) 796-2308
Other identifiers 19
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 470528515-06 | Medicaid | NE | |
| 84730 | Other | NE | BCBS |
| 470528515-13 | Medicaid | NE | |
| 470528515-15 | Medicaid | NE | |
| 470528515-17 | Medicaid | NE | |
| 470528515-00 | Medicaid | NE | |
| 470528515-03 | Medicaid | NE | |
| 470528515-04 | Medicaid | NE | |
| 470528515-07 | Medicaid | NE | |
| 470528515-14 | Medicaid | NE | |
| 470528515-01 | Medicaid | NE | |
| 470528515-09 | Medicaid | NE | |
| 470528515-10 | Medicaid | NE | |
| 10025208000 | Medicaid | NE | |
| 10025208700 | Medicaid | NE | |
| 470528515-02 | Medicaid | NE | |
| 470528515-05 | Medicaid | NE | |
| 9595 | Other | NE | MIDLANDS CHOICE |
| 470528515-08 | Medicaid | NE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blue Valley Behavioral Health Inc | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Beatrice, NE
- NPI 1316019508
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207008000000",
"number": "1548339302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14001 NW 126 ST",
"city": "MALCOLM",
"state": "NE",
"postal_code": "68402",
"telephone_number": "402-796-2308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "543 N LINDEN ST",
"address_2": "BLUE VALLEY BEHAVIORAL HEALTH",
"city": "WAHOO",
"state": "NE",
"postal_code": "680661960",
"telephone_number": "402-228-3386",
"fax_number": "402-443-4414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "CLAUDIA",
"middle_name": "JAN",
"name_prefix": "Ms.",
"credential": "LMHP CPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-07",
"last_updated": "2008-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "1084",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NE",
"license": "847",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "470528515-06",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "84730",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "470528515-13",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "470528515-15",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "470528515-17",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "470528515-00",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "470528515-03",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "470528515-04",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "470528515-07",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "470528515-14",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "470528515-01",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "470528515-09",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "470528515-10",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025208000",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025208700",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "470528515-02",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "470528515-05",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MIDLANDS CHOICE",
"identifier": "9595",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "470528515-08",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wahoo, NE
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- CRMT Inc. (Home Medical Supplies of Saunders County)
- Cameron Curtis
- Daileys Clinic Pharmacy Inc
- Daileys Clinic Phcy Inc (Coleman Clinic Pharmacy)
- Matthew Donald Dover, PTA
- Amy Dunlap
- Hannah Nicole Ehresman
- Angela Jean Evans, PT
- Family Healthcare of Wahoo, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.