Active NPI
Mary Kathleen Ogle, LCSW, LIMHP, MHP
- Mental Health Counselor
- Lincoln, NE
National Provider Identifier
1639329477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 226
- Practice address
- 1911 Broadmoore Dr
Lincoln, NE 68506-2317 - Phone
- (402) 486-4754
- NPI assigned
- Sep 29, 2008
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 226 | NE | Primary |
| Mental Health Counselor | 101YM0800X | 1553 | NE | |
| Clinical Social Worker | 1041C0700X | 841 | NE |
Addresses
Primary practice location
1911 Broadmoore Dr
Lincoln, NE 68506-2317
Mailing address
1911 Broadmoore Dr
Lincoln, NE 68506-2317
Phone (402) 486-4754
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
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
770 N Cotner Blvd
Suite 328
Lincoln, NE 68505-2344
Phone (402) 486-4754
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 841 | NE | MD | Psychologist |
| 1553 | NE | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cognitive Change, LLC | Current | Accepting new patients |
Locations
770 N Cotner Blvd
Ste 328
Lincoln, NE 68505
Phone (402) 286-2754
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Lincoln, NE
- NPI 1841789070
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222646400000",
"number": "1639329477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1911 BROADMOORE DR",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685062317",
"telephone_number": "402-486-4754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1911 BROADMOORE DR",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685062317",
"telephone_number": "402-486-4754"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OGLE",
"first_name": "MARY",
"middle_name": "KATHLEEN",
"credential": "LCSW, LIMHP, MHP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-09-29",
"last_updated": "2008-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "226",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "1553",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NE",
"license": "841",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2008; 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.