Individual provider Active NPI

Gina Maria Smith, LIMHP, CPC

  • Mental Health Counselor
  • Kearney, NE
National Provider Identifier
1578735239
Registry record updated Jul 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
423 Issued in NE
Practice address
2811 30TH Ave
Kearney, NE 68845-4036
Phone
(308) 237-6865
Fax
(308) 236-7698
NPI assigned
Apr 1, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 423 NE Primary
Mental Health Counselor 101YM0800X 2784 NE
Professional Counselor 101YP2500X 1467 NE

Addresses

Primary practice location

2811 30TH Ave
Kearney, NE 68845-4036

Mailing address

2811 30TH Ave
Kearney, NE 68845-4036
Phone (308) 237-6865

Other practice location 1

314 S 14th St
Ord, NE 68862-1762
Phone (308) 293-7442

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
I20240809002388 NE Practitioner - Mental Health Counselor 0042758955 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2811 30TH Ave
Kearney, NE 68845-4036
Phone (308) 237-6865

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
423NEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Gina Smith Counseling Services Mental Health CurrentSince Apr 18, 2008 Accepting new patients

Locations

2811 30th Ave
Kearney, NE 68845
Phone (308) 237-6865

314 S 14th St
Ste 103
Ord, NE 68862
Phone (308) 293-7442

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": "1207008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1578735239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2811 30TH AVE",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688454036",
            "telephone_number": "308-237-6865",
            "fax_number": "308-237-3378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2811 30TH AVE",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688454036",
            "telephone_number": "308-237-6865",
            "fax_number": "308-236-7698"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "314 S 14th St",
            "address_purpose": "LOCATION",
            "city": "Ord",
            "state": "NE",
            "postal_code": "688621762",
            "country_code": "US",
            "telephone_number": "308-293-7442",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "GINA",
        "middle_name": "MARIA",
        "name_prefix": "Mrs.",
        "credential": "LIMHP, CPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-01",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "423",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "2784",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NE",
            "license": "1467",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kearney, NE

Sources for this page

Verify at the official NPI Registry.