Individual provider Active NPI

Tracy Schaaf

  • Mental Health Counselor
  • Kearney, NE
National Provider Identifier
1740465202
Registry record updated Jan 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
3198 Issued in NE
Practice address
3810 Central Ave
Kearney, NE 68847-8134
Phone
(308) 237-5951
NPI assigned
Jan 3, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X P-603 NE
Mental Health Counselor 101YM0800X 3198 NE Primary

Addresses

Primary practice location

3810 Central Ave
Kearney, NE 68847-8134

Mailing address

1303 12TH Ave
Kearney, NE 68845-6533

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
I20240206002441 NE Practitioner - Mental Health Counselor 3173966207 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Alivation Health LLCGroup PAC ID 0941199681, 14 clinicians

Practice addresses (Care Compare)

8550 Cuthills Cir
Suite 100
Lincoln, NE 68526-9523
Phone 4024766060211

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1133NEMDAddiction (Substance Use Disorder) Counselor
P-603NEMDAddiction (Substance Use Disorder) Counselor
3198NEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Alivation Health, LLC CurrentSince Feb 21, 2024 Accepting new patients

Locations

8550 Cuthills Cir
Ste 100
Lincoln, NE 68526

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": "1199318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199318400000",
    "number": "1740465202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 12TH AVE",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688456533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3810 CENTRAL AVE",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688478134",
            "telephone_number": "308-237-5951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAAF",
        "first_name": "TRACY",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-03",
        "last_updated": "2008-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NE",
            "license": "P-603",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "3198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kearney, NE

Sources for this page

Verify at the official NPI Registry.