Individual provider Active NPI

Debra Ann Baldwin-Betty, LIMHP, PLADC

  • Mental Health Counselor
  • Lincoln, NE
National Provider Identifier
1700977790
Registry record updated Aug 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
781 Issued in NE
Practice address
1001 South 70TH Street
Suite 225
Lincoln, NE 68510-7906
Phone
(402) 325-0117
Fax
(402) 817-3681
NPI assigned
Sep 27, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 2242 NE
Mental Health Counselor 101YM0800X 781 NE Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X P-1008 NE

Addresses

Primary practice location

1001 South 70TH Street
Suite 225
Lincoln, NE 68510-7906

Mailing address

1001 South 70TH Street
Suite 225
Lincoln, NE 68510-7906
Phone (402) 325-0117

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

State licenses

LicenseStateTypeSpecialty
P-1008NEMDAddiction (Substance Use Disorder) Counselor
2242NEMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adultspan PC Mental Health PastSince Jan 1, 2019 Accepting new patients

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": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376870400000",
    "number": "1700977790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 SOUTH 70TH STREET",
            "address_2": "SUITE 225",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685107906",
            "telephone_number": "402-325-0117",
            "fax_number": "402-817-3681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 SOUTH 70TH STREET",
            "address_2": "SUITE 225",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685107906",
            "telephone_number": "402-325-0117",
            "fax_number": "402-817-3681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALDWIN-BETTY",
        "first_name": "DEBRA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LIMHP, PLADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2013-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "2242",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "781",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NE",
            "license": "P-1008",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2013; 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.