Active NPI
Chad Patrick Richter, MS LMHP
- Mental Health Counselor
- Omaha, NE
National Provider Identifier
1699022723
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 4088
- Practice address
- 11920 Burt St
Suite 190
Omaha, NE 68154-1598 - Phone
- (402) 965-4004
- Fax
- (402) 965-4232
- NPI assigned
- Aug 8, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 4088 | NE | Primary |
Addresses
Primary practice location
11920 Burt St
Suite 190
Omaha, NE 68154-1598
Mailing address
11920 Burt St
Suite 190
Omaha, NE 68154-1598
Phone (402) 965-4004
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- 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
- Mental Health Counselor
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
427 E Kanesville Blvd
Suite 210
Council Bluffs, IA 51503-4403
Phone 7122569660104
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4088 | NE | MD | Mental Health Counselor |
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 Counselor
- Council Bluffs, IA
- NPI 1821314808
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346803200000",
"number": "1699022723",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11920 BURT ST",
"address_2": "SUITE 190",
"city": "OMAHA",
"state": "NE",
"postal_code": "681541598",
"telephone_number": "402-965-4004",
"fax_number": "402-965-4232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11920 BURT ST",
"address_2": "SUITE 190",
"city": "OMAHA",
"state": "NE",
"postal_code": "681541598",
"telephone_number": "402-965-4004",
"fax_number": "402-965-4232"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHTER",
"first_name": "CHAD",
"middle_name": "PATRICK",
"credential": "MS LMHP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-08-08",
"last_updated": "2012-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "4088",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2012; 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.