Active NPI
Gina Maria Smith, LIMHP, CPC
- Mental Health Counselor
- Kearney, NE
National Provider Identifier
1578735239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 423
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 423 | NE | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gina Smith Counseling Services | Mental Health | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.