Individual provider Active NPI

Carmen Marie Craig, LIMHP

  • Professional Counselor
  • Omaha, NE
National Provider Identifier
1790457968
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
3649 Issued in NE
Practice address
11414 W Center Rd Ste 249
Omaha, NE 68144-4486
Phone
(402) 819-9887
NPI assigned
Oct 5, 2021
Last updated
Sep 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2024

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 12764 NE
Professional Counselor 101YP2500X 3649 NE Primary

Addresses

Primary practice location

11414 W Center Rd Ste 249
Omaha, NE 68144-4486

Mailing address

15128 Farnam Cir
Omaha, NE 68154-2007
Phone (402) 319-1025

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
I20250109000157 NE Practitioner - Mental Health Counselor 3577099464 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New Beginnings Counseling Omaha Metro LLCGroup PAC ID 8224474150, 10 clinicians

Practice addresses (Care Compare)

11414 W Ctr Rd
Suite 247
Omaha, NE 68144-4420
Phone (402) 598-9601

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12764NEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
New Beginnings Counseling Omaha Metro LLC CurrentSince Aug 1, 2024 Accepting new patients

Locations

11414 W Center Rd
Ste 247
Omaha, NE 68144
Phone (402) 598-9601

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": "1633392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1790457968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15128 FARNAM CIR",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681542007",
            "telephone_number": "402-319-1025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11414 W CENTER RD STE 249",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681444486",
            "telephone_number": "402-819-9887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAIG",
        "first_name": "CARMEN",
        "middle_name": "MARIE",
        "credential": "LIMHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-05",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "12764",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NE",
            "license": "3649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.