Active NPI
Beth Burkstrand-Reid, JD
- Clinical Social Worker
- Lincoln, NE
National Provider Identifier
1639650179
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 7629
- Practice address
- 808 P St Ste 200D
Lincoln, NE 68508-1361 - Phone
- (402) 204-8161
- NPI assigned
- Aug 23, 2018
- Last updated
- Apr 3, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 2433 | NE | |
| Clinical Social Worker | 1041C0700X | 7629 | NE | Primary |
Addresses
Primary practice location
808 P St Ste 200D
Lincoln, NE 68508-1361
Mailing address
808 P St Ste 200D
Lincoln, NE 68508-1361
Phone (402) 204-8161
Other practice location 1
808 P St Ste 208
Lincoln, NE 68508-1361
Phone (402) 204-8161
Other practice location 2
1000 S 13th St
Lincoln, NE 68508-3533
Phone (402) 475-5161
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Juris Doctor
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1913 | NE | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712102400000",
"number": "1639650179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "808 P ST STE 200D",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685081361",
"telephone_number": "402-204-8161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "808 P ST STE 200D",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685081361",
"telephone_number": "402-204-8161"
}
],
"practiceLocations": [
{
"address_1": "808 P St Ste 208",
"address_purpose": "LOCATION",
"city": "Lincoln",
"state": "NE",
"postal_code": "685081361",
"country_code": "US",
"telephone_number": "402-204-8161",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1000 S 13th St",
"address_purpose": "LOCATION",
"city": "Lincoln",
"state": "NE",
"postal_code": "685083533",
"country_code": "US",
"telephone_number": "402-475-5161",
"fax_number": "402-475-3300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BURKSTRAND-REID",
"first_name": "BETH",
"credential": "JD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-23",
"last_updated": "2024-04-03",
"certification_date": "2024-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "2433",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NE",
"license": "7629",
"primary": true
}
],
"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 Apr 3, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.