Active NPI
Marsha L Wilkison, ED S LMHP
- Marriage & Family Therapist
- McCook, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 1732
- Practice address
- 1012 W 3Rd St
McCook, NE 69001-2527 - Phone
- (308) 345-2770
- Fax
- (308) 345-2557
- NPI assigned
- Jul 7, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 1732 | NE | Primary |
Addresses
Primary practice location
1012 W 3Rd St
McCook, NE 69001-2527
Mailing address
1012 W 3Rd St
PO Box 818
McCook, NE 69001-2527
Phone (308) 345-2770
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6251 | Other | MIDLANDS CHOICE | |
| 84892 | Other | BCBS DIRECT PROVIDER | |
| 97085 | Other | BCBS AUXILLIARY PROVIDER |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240131001231 | NE | Practitioner - Mental Health Counselor | 3072966688 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Region II Human Services
Practice addresses (Care Compare)
1012 W 3Rd St
MC Cook, NE 69001-2527
Phone (308) 345-2770
110 N Bailey Ave
North Platte, NE 69101-5436
Phone (308) 534-6029
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1732 | NE | MD | Professional Counselor |
| 599 | NE | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Region II Human Services | Current | Accepting new patients | |
| Region II Human Services | Current | Accepting new patients | |
| Region II Human Services | Current | Accepting new patients |
Locations
1012 W 3rd St
McCook, NE 69001
Phone (308) 345-2770
110 N Bailey Ave
North Platte, NE 69101
Phone (308) 532-4860
401 W 1st St
Ogallala, NE 69153
Phone 3082846767 ext. 206
Organizations & group practices 3
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- North Platte, NE
- NPI 1013923382
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Ogallala, NE
- NPI 1457436586
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1790717288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1012 W 3RD ST",
"address_2": "PO BOX 818",
"city": "MCCOOK",
"state": "NE",
"postal_code": "690012527",
"telephone_number": "308-345-2770",
"fax_number": "308-345-2557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1012 W 3RD ST",
"city": "MCCOOK",
"state": "NE",
"postal_code": "690012527",
"telephone_number": "308-345-2770",
"fax_number": "308-345-2557"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILKISON",
"first_name": "MARSHA",
"middle_name": "L",
"credential": "ED S LMHP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NE",
"license": "1732",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MIDLANDS CHOICE",
"identifier": "6251",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS DIRECT PROVIDER",
"identifier": "84892",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS AUXILLIARY PROVIDER",
"identifier": "97085",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in McCook, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.