Individual provider Active NPI

David Ryan McCann, LIMHP

  • Mental Health Counselor
  • Omaha, NE
National Provider Identifier
1700121860
Registry record updated Dec 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2756 Issued in NE
Practice address
9509 S 171St Ave
Omaha, NE 68136-1332
Phone
(402) 651-9948
NPI assigned
Nov 30, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 2756 NE Primary

Addresses

Primary practice location

9509 S 171St Ave
Omaha, NE 68136-1332

Mailing address

9509 S 171St Ave
Omaha, NE 68136-1332
Phone (402) 651-9948

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
I20240222003915 NE Practitioner - Mental Health Counselor 6901240449 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2756NEMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Unmc Physicians CurrentSince Jan 10, 2024 Accepting new patients

Locations

42nd Dewey St
Omaha, NE 68198
Phone (402) 552-6244

Emile 42nd St
Omaha, NE 68198
Phone (402) 552-6731

988102 Nebraska Medical Ctr
Omaha, NE 68198
Phone (402) 559-5600

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.

NPI Registry JSON

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

{
    "created_epoch": "1354233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735516800000",
    "number": "1700121860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9509 S 171ST AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681361332",
            "telephone_number": "402-651-9948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9509 S 171ST AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681361332",
            "telephone_number": "402-651-9948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCANN",
        "first_name": "DAVID",
        "middle_name": "RYAN",
        "name_prefix": "Mr.",
        "credential": "LIMHP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-11-30",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "2756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.