Individual provider Active NPI

Michelle Sue Nelson, LADC, LMHP, LIMHP

  • Mental Health Counselor
  • Lincoln, NE
National Provider Identifier
1700040524
Registry record updated Jul 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2531 Issued in NE
Practice address
2633 P St
Lincoln, NE 68503-3528
Phone
(402) 475-8717
Fax
(402) 475-6728
NPI assigned
Jul 10, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2008

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 517 NE
Mental Health Counselor 101YM0800X 2531 NE Primary
Professional Counselor 101YP2500X 1376 NE

Addresses

Primary practice location

2633 P St
Lincoln, NE 68503-3528

Mailing address

2633 P St
Lincoln, NE 68503-3528
Phone (402) 475-8717

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240119003234 NE Practitioner - Mental Health Counselor 9830541317 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
120NEMDAddiction (Substance Use Disorder) Counselor
2531NEMDMental Health Counselor
517NEMDClinical Psychologist
1376NEMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Bryan Medical Center Current Accepting new patients
Bryan Medical Center CurrentSince Jan 1, 2024 Accepting new patients
Bryan Medical Center Professional CurrentSince Jan 1, 2024 Accepting new patients

Locations

2221 S 17th St
Ste 201
Lincoln, NE 68502
Phone (402) 481-5991

1600 S 48th St
Lincoln, NE 68506
Phone (402) 481-9049

Organizations & group practices 3

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": "1215648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215648000000",
    "number": "1700040524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2633 P ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685033528",
            "telephone_number": "402-475-8717",
            "fax_number": "402-475-6728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2633 P ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685033528",
            "telephone_number": "402-475-8717",
            "fax_number": "402-475-6728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "MICHELLE",
        "middle_name": "SUE",
        "credential": "LADC, LMHP, LIMHP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-10",
        "last_updated": "2008-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NE",
            "license": "517",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "2531",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NE",
            "license": "1376",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.