Individual provider Active NPI

Ryan Witt, LIMHP, LPC

  • Mental Health Counselor
  • Grand Island, NE
National Provider Identifier
1639253040
Registry record updated Mar 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2141 Issued in NE
Practice address
1811 W 2ND St
Suite 210
Grand Island, NE 68803-5413
Phone
(308) 675-2222
Fax
(308) 675-2223
NPI assigned
Oct 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 2141 NE Primary
Mental Health Counselor 101YM0800X 95 NE

Addresses

Primary practice location

1811 W 2ND St
Suite 210
Grand Island, NE 68803-5413

Mailing address

1811 W 2ND St
Suite 210
Grand Island, NE 68803-5413
Phone (308) 675-2222

Other identifiers 1

IdentifierTypeStateIssuer
47077707526MedicaidNE

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
I20231212002223 NE Practitioner - Mental Health Counselor 6608225982 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
95NEMDRegistered Dietitian
2141NEMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lutheran Family Services of NE, Inc Mental Health CurrentSince Jan 1, 2024 Accepting new patients

Locations

1811 W 2nd St
#1000
Grand Island, NE 68803
Phone (308) 382-4255

124 S 24th St
Ste 230
Omaha, NE 68102
Phone (402) 591-5078

7929 W Center Rd
Omaha, NE 68124
Phone (402) 342-7007

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": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362096000000",
    "number": "1639253040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1811 W 2ND ST",
            "address_2": "SUITE 210",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688035413",
            "telephone_number": "308-675-2222",
            "fax_number": "308-675-2223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 W 2ND ST",
            "address_2": "SUITE 210",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688035413",
            "telephone_number": "308-675-2222",
            "fax_number": "308-675-2223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITT",
        "first_name": "RYAN",
        "name_prefix": "Mr.",
        "credential": "LIMHP, LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2013-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "2141",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "95",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47077707526",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Island, NE

Sources for this page

Verify at the official NPI Registry.