Individual provider Active NPI

Krista Marie Holeman, LIMHP, LADC

  • Mental Health Counselor
  • Superior, NE
National Provider Identifier
1710409107
Registry record updated Jun 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2018 Issued in NE
Practice address
520 E 10TH St
Superior, NE 68978-1225
Phone
(402) 207-1542
NPI assigned
Jul 7, 2017
Last updated
Jun 16, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 2018 NE Primary
Mental Health Counselor 101YM0800X 10527 NE

Addresses

Primary practice location

520 E 10TH St
Superior, NE 68978-1225

Mailing address

520 E 10TH St
Superior, NE 68978-1225

Other practice location 1

520 E 10th St
Superior, NE 68978-1225
Phone (402) 207-1542

Other identifiers 1

IdentifierTypeStateIssuer
168976938MedicaidNE

Other names 1

  • Miss Krista Marie Vieselmeyer Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kholeman@brodstone.org

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
I20260528004015 NE Practitioner - Mental Health Counselor 6800366089 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Joyce Enterprises, LLCGroup PAC ID 5597232967, 2 clinicians

Practice addresses (Care Compare)

400 W Braasch Ave
Suite 1 a Better Spirit Counseling Center
Norfolk, NE 68701-4157
Phone 40299215120

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10527NEMDMental 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1499385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655337600000",
    "number": "1710409107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 E 10TH ST",
            "city": "SUPERIOR",
            "state": "NE",
            "postal_code": "689781225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 E 10TH ST",
            "city": "SUPERIOR",
            "state": "NE",
            "postal_code": "689781225",
            "telephone_number": "402-207-1542"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "520 E 10th St",
            "address_purpose": "LOCATION",
            "city": "Superior",
            "state": "NE",
            "postal_code": "689781225",
            "country_code": "US",
            "telephone_number": "402-207-1542",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLEMAN",
        "first_name": "KRISTA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LIMHP, LADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-07",
        "last_updated": "2022-06-16",
        "certification_date": "2022-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "2018",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "10527",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "168976938",
            "state": "NE"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kholeman@brodstone.org",
            "affiliation": "N",
            "address_1": "520 E 10th St",
            "city": "Superior",
            "state": "NE",
            "country_code": "US",
            "postal_code": "689781225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KRISTA",
            "last_name": "VIESELMEYER",
            "middle_name": "MARIE",
            "prefix": "MISS",
            "credential": "LIMHP, LADC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Superior, NE

Sources for this page

Verify at the official NPI Registry.