Kristine Ruth Severe, LCSW LMHP

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2225 Issued in NE

Practice address

10846 Old Mill Rd Ste 5
Omaha, NE 68154-2655

Phone

(402) 290-8593

Fax

(402) 991-7445

NPI assigned

Apr 20, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Ms. Kristine Ruth Powell Former name

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

Specialty

Mental Health Counselor

Education

Tulane University School of Medicine, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Adult Adolescent and Child Therapy IncGroup PAC ID 8224353685, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Adult, Adolescent and Child Therapy, Inc.

  • Clinical Social Worker
  • Omaha, NE
  • NPI 1134250632
  Medicare reassignment Care Compare group

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1271721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449014400000",
    "number": "1669799300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4539 HICKORY ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681062509",
            "telephone_number": "402-290-8593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10846 OLD MILL RD STE 5",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681542655",
            "telephone_number": "402-290-8593",
            "fax_number": "402-991-7445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEVERE",
        "first_name": "KRISTINE",
        "middle_name": "RUTH",
        "name_prefix": "Ms.",
        "credential": "LCSW LMHP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-20",
        "last_updated": "2015-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NE",
            "license": "1000",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NE",
            "license": "2225",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100253396-00",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTINE",
            "last_name": "POWELL",
            "middle_name": "RUTH",
            "prefix": "MS.",
            "credential": "LCSW LMHP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lyric Settrini
• Miakoda Seuss
• James J Sevcik, PT
• Kristina Marie Sevcik, MD
• Janet L. Severe, MS, LMHP, CPC
• Ian M Severes, LMHP, LADC
• Matthew Joseph Severin III, DDS
• Carri Severn
• Gregory Severson, MD
• Gregory C Severson, M.D.

• Clinical Social Worker in Omaha, NE
• Providers in Omaha, NE by specialty
• Clinical Social Worker in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2015; 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.

Verify at the official NPI Registry.