Individual provider Active NPI

Dixie Ruthann Placek, MA, LIMHP, LIMFT

  • Mental Health Counselor
  • Crete, NE
National Provider Identifier
1689685877
Registry record updated May 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
601 Issued in NE
Practice address
422 South Boswell Avenue
Crete, NE 68333-3253
Phone
(402) 826-2829
Fax
(402) 826-2829
NPI assigned
Aug 11, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2012

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 601 NE Primary
Mental Health Counselor 101YM0800X 341 NE
Marriage & Family Therapist 106H00000X 045 NE
Marriage & Family Therapist 106H00000X 341 NE

Addresses

Primary practice location

422 South Boswell Avenue
Crete, NE 68333-3253

Mailing address

422 South Boswell Avenue
Crete, NE 68333-3253
Phone (402) 826-2829

Other identifiers 3

IdentifierTypeStateIssuer
10025753600MedicaidNE
47077425426MedicaidNE
84265OtherNEBC/BS

Other names 1

  • Mrs. Dixie Ruthann Placek Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
601NEMDAddiction (Substance Use Disorder) Counselor
341NEMDPhysical Therapy Assistant
045NEMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Affiliates in Family and Individual Growth, Inc. Past Accepting new patients
Dixie R. Placek LLC Mental Health Past Accepting new patients

Organizations & group practices 2

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": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338249600000",
    "number": "1689685877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "422 SOUTH BOSWELL AVENUE",
            "city": "CRETE",
            "state": "NE",
            "postal_code": "683333253",
            "telephone_number": "402-826-2829",
            "fax_number": "402-826-2829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 SOUTH BOSWELL AVENUE",
            "city": "CRETE",
            "state": "NE",
            "postal_code": "683333253",
            "telephone_number": "402-826-2829",
            "fax_number": "402-826-2829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLACEK",
        "first_name": "DIXIE",
        "middle_name": "RUTHANN",
        "name_prefix": "Mrs.",
        "credential": "MA, LIMHP, LIMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-11",
        "last_updated": "2012-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "601",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "341",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NE",
            "license": "045",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NE",
            "license": "341",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025753600",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47077425426",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "84265",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIXIE",
            "last_name": "PLACEK",
            "middle_name": "RUTHANN",
            "prefix": "MRS.",
            "credential": "MA, LIMFT, LIMHP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Crete, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.