Individual provider Active NPI

Danette D Reidl, LIMHP

  • Mental Health Counselor
  • Omaha, NE
National Provider Identifier
1548615214
Registry record updated Jan 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
3095 Issued in NE
Practice address
4505 Aurora Dr
Omaha, NE 68134-3329
Phone
(402) 671-8591
NPI assigned
Apr 29, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2023

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 3095 NE Primary

Addresses

Primary practice location

4505 Aurora Dr
Omaha, NE 68134-3329

Mailing address

4505 Aurora Dr
Omaha, NE 68134-3329
Phone (402) 671-8591

Other identifiers 1

IdentifierTypeStateIssuer
10026589300MedicaidNE

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
I20250106000798 NE Practitioner - Mental Health Counselor 4587192562 Practice locations: Omaha, NE

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Let'S Talk Mental Health 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1461888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673913600000",
    "number": "1548615214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4505 AURORA DR",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681343329",
            "telephone_number": "402-671-8591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4505 AURORA DR",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681343329",
            "telephone_number": "402-671-8591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REIDL",
        "first_name": "DANETTE",
        "middle_name": "D",
        "name_prefix": "Ms.",
        "credential": "LIMHP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-29",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "3095",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026589300",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.