Active NPI
Kristin Ellen Bieber, PH.D., LP
- Psychologist
- Boys Town, NE
National Provider Identifier
1720334659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 862
- Practice address
- 13460 Walsh Dr
Boys Town, NE 68010-7529 - Phone
- (402) 498-3358
- Fax
- (402) 498-3375
- NPI assigned
- Jul 30, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 4335 | NE | |
| Psychologist | 103T00000X | 862 | NE | Primary |
Addresses
Primary practice location
13460 Walsh Dr
Boys Town, NE 68010-7529
Mailing address
13460 Walsh Dr
Boys Town, NE 68010-7529
Phone (402) 498-3358
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 470376606-31 | Medicaid | NE | |
| 47037660639 | Medicaid | NE |
Other names 1
- Kristin Ellen Jones
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 862 | NE | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Omaha Center for Anxiety Management, PC | Current | Accepting new patients |
Locations
11930 Arbor St
Ste 203
Omaha, NE 68144
Phone (402) 235-8128
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.
-
- Cognitive & Behavioral Psychologist
- Omaha, NE
- NPI 1780260729
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411516800000",
"number": "1720334659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13460 WALSH DR",
"city": "BOYS TOWN",
"state": "NE",
"postal_code": "680107529",
"telephone_number": "402-498-3358",
"fax_number": "402-498-3375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13460 WALSH DR",
"city": "BOYS TOWN",
"state": "NE",
"postal_code": "680107529",
"telephone_number": "402-498-3358",
"fax_number": "402-498-3375"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIEBER",
"first_name": "KRISTIN",
"middle_name": "ELLEN",
"credential": "PH.D., LP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-30",
"last_updated": "2014-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NE",
"license": "4335",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NE",
"license": "862",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "470376606-31",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47037660639",
"state": "NE"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KRISTIN",
"last_name": "JONES",
"middle_name": "ELLEN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Boys Town, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.