Individual provider Active NPI

Brianna Michele Chacon, LIMHP, LCSW

  • Mental Health Counselor
  • Kearney, NE
National Provider Identifier
1578196440
Registry record updated Oct 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
12106 Issued in NE
Practice address
3720 A Ave Ste E
Kearney, NE 68847-8169
Phone
(308) 234-5644
NPI assigned
Feb 19, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2022

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 12106 NE Primary

Addresses

Primary practice location

3720 A Ave Ste E
Kearney, NE 68847-8169

Mailing address

4003 Pony Express Rd
Kearney, NE 68847-2555
Phone (402) 806-2410

Other names 1

  • Brianna Michele Aden Former name

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
I20230502001005 NE Practitioner - Clinical Social Worker 0547625295 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elevate Counseling and Consulting LLCGroup PAC ID 7911345244, 4 clinicians

Practice addresses (Care Compare)

412 W 42ND St
Kearney, NE 68845-2401

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12106NEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Elevate Counseling and Consulting, LLC Mental Health CurrentSince Feb 11, 2024 Accepting new patients

Locations

5308 Parklane Dr
Ste 5
Kearney, NE 68847
Phone (308) 251-2222

Organizations & group practices 2

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": "1582070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666569600000",
    "number": "1578196440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4003 PONY EXPRESS RD",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688472555",
            "telephone_number": "402-806-2410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3720 A AVE STE E",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688478169",
            "telephone_number": "308-234-5644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHACON",
        "first_name": "BRIANNA",
        "middle_name": "MICHELE",
        "credential": "LIMHP, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-19",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "12106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRIANNA",
            "last_name": "ADEN",
            "middle_name": "MICHELE",
            "credential": "PLMHP, PLCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kearney, NE

Sources for this page

Verify at the official NPI Registry.