Active NPI
Mary D. Byrd, LMHP, PC, LIMHP
- Mental Health Counselor
- Omaha, NE
National Provider Identifier
1578663175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 1180
- Practice address
- 1710 N 144TH St
Omaha, NE 68154-4715 - Phone
- (402) 651-4673
- NPI assigned
- Sep 23, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 1258 | NE | |
| Counselor | 101Y00000X | 819 | NE | |
| Mental Health Counselor | 101YM0800X | 1180 | NE | Primary |
Addresses
Primary practice location
1710 N 144TH St
Omaha, NE 68154-4715
Mailing address
16023 Lindenwood Cir
Bennington, NE 68007-7443
Phone (402) 651-4673
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10025123100 | 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1258 | NE | MD | Counselor |
| 819 | NE | MD | Mental Health Counselor |
| 1180 | NE | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481500800000",
"number": "1578663175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16023 LINDENWOOD CIR",
"city": "BENNINGTON",
"state": "NE",
"postal_code": "680077443",
"telephone_number": "402-651-4673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1710 N 144TH ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681544715",
"telephone_number": "402-651-4673"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BYRD",
"first_name": "MARY",
"middle_name": "D.",
"name_prefix": "Mrs.",
"credential": "LMHP, PC, LIMHP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-23",
"last_updated": "2016-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NE",
"license": "1258",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NE",
"license": "819",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "1180",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025123100",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.