Individual provider Active NPI

Melissa Thorne

  • Mental Health Counselor
  • Lincoln, NE
National Provider Identifier
1710429253
Registry record updated Aug 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2574 Issued in NE
Practice address
2123 Winthrop Rd Ste B
Lincoln, NE 68502-4156
Phone
(402) 489-9990
Fax
(402) 261-9202
NPI assigned
Nov 15, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2023

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 1395 NE
Counselor 101Y00000X
Mental Health Counselor 101YM0800X 2574 NE Primary

Addresses

Primary practice location

2123 Winthrop Rd Ste B
Lincoln, NE 68502-4156

Mailing address

2311 S 36TH St
Lincoln, NE 68506-6626
Phone (402) 805-1099

Other practice location 1

4910 Normal Blvd Ste D
Lincoln, NE 68506-6300
Phone (402) 805-1099

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
I20240604001323 NE Practitioner - Mental Health Counselor 8123560372 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4910 Normal Blvd
Suite D
Lincoln, NE 68506-6300
Phone (402) 805-1099

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1395NEMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Soul Awakening LLC Counselor CurrentSince Mar 26, 2024 Accepting new patients
Origins Health and Wellness, LLC Counselor PastSince Sep 5, 2023 Accepting new patients

Locations

4910 Normal Blvd
Ste D
Lincoln, NE 68506
Phone (402) 805-1099

Organizations & group practices 2

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": "1479168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693180800000",
    "number": "1710429253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2311 S 36TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685066626",
            "telephone_number": "402-805-1099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2123 WINTHROP RD STE B",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685024156",
            "telephone_number": "402-489-9990",
            "fax_number": "402-261-9202"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4910 Normal Blvd Ste D",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "NE",
            "postal_code": "685066300",
            "country_code": "US",
            "telephone_number": "402-805-1099",
            "fax_number": "531-500-5447",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THORNE",
        "first_name": "MELISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-15",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NE",
            "license": "1395",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "2574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.