Individual provider Active NPI

Marsha L Wilkison, ED S LMHP

  • Marriage & Family Therapist
  • McCook, NE
National Provider Identifier
1790717288
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1732 Issued in NE
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
6251OtherMIDLANDS CHOICE
84892OtherBCBS DIRECT PROVIDER
97085OtherBCBS 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 15 clinicians

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

LicenseStateTypeSpecialty
1732NEMDProfessional Counselor
599NEMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Region II Human Services CurrentSince Jan 1, 2024 Accepting new patients
Region II Human Services CurrentSince Jan 1, 2024 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.

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

Verify at the official NPI Registry.