Mickey Karst

Individual provider Active NPI Mental Health Counselor · Falls City, NE

NPI 1730670571 · NPPES record last updated Feb 21, 2024

Key facts

NPI
1730670571
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
2996 (NE)
Practice address
103 E 35TH Ste a
Falls City, NE 68355-1221
Phone
(402) 245-4458
NPI assigned
May 29, 2018
Sex
Female
Sole proprietor
No

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.

Medicare Care Compare profile

Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Blue Valley Behavioral Health Inc (32 clinicians)

Practice addresses (Care Compare)

3901 Normal Blvd
Suite 201
Lincoln, NE 68506-5250
Phone (402) 261-4017

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20230510000355 NE Practitioner - Clinical Social Worker 2961868393 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
2996NEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Valley Behavioral Health Inc Current
since Apr 14, 2023
Accepting new patients

Locations

820 Central Ave
Ste 4
Auburn, NE 68305
Phone (402) 274-4373

1123 N 9th St
Beatrice, NE 68310
Phone (402) 228-3386

1212 Ivy Ave
Ste 2
Crete, NE 68333
Phone (402) 826-2000

103 E 35th
Ste A
Falls City, NE 68355
Phone (402) 245-4458

3901 Normal Blvd
Ste 201
Lincoln, NE 68506
Phone (402) 261-4017

1903 4th Corso
Nebraska City, NE 68410
Phone (402) 873-5505

600 I St
Pawnee City, NE 68420
Phone (402) 852-2231

459 S 6th St
Ste 1
Seward, NE 68434
Phone (402) 643-3343

722 S Lincoln Ave
Ste 1
York, NE 68467
Phone (402) 362-6128

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 2996 NE Yes

Addresses

Primary practice location

103 E 35TH Ste a
Falls City, NE 68355-1221

Mailing address

1123 N 9TH St
Beatrice, NE 68310-2041
Phone (402) 228-3386

Other names

  • Mickey Sampson Former name

Other providers in Falls City, NE

All providers in Falls City, NE · Mental Health Counselor in Nebraska

Sources for this page

Verify at the official NPI Registry.