Active NPI
Gloria Christian, MA
- Mental Health Counselor
- Lincoln, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 12810
- Practice address
- 1430 South St
Lincoln, NE 68502-2467 - Phone
- (531) 500-4429
- NPI assigned
- Feb 25, 2019
- Last updated
- Oct 18, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Mental Health Counselor | 101YM0800X | 12810 | NE | Primary |
Addresses
Primary practice location
1430 South St
Lincoln, NE 68502-2467
Mailing address
1430 South St
Lincoln, NE 68502-2467
Phone (531) 500-4429
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 |
|---|---|---|---|---|
| I20240708003372 | NE | Practitioner - Mental Health Counselor | 7012452642 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12810 | NE | MD | Mental Health Counselor |
| 3406 | NE | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Behavioral Health Services | Current | Accepting new patients | |
| KVC Behavioral Healthcare Nebraska, Inc | Current | Accepting new patients | |
| KVC Behavioral Healthcare Nebraska, Inc | Current | Accepting new patients |
Locations
21350 W 153rd St
Olathe, KS 66061
Phone (913) 322-2400
1430 South St
Lincoln, NE 68502
Phone (402) 890-5778
5001 Central Park Dr
Ste 100
Lincoln, NE 68504
Phone (402) 742-8800
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Lincoln, NE
- NPI 1043759871
-
dba KVC Nebraska
- Community/Behavioral Health Agency
- Lincoln, NE
- NPI 1568790483
-
dba KVC Nebraska
- Community/Behavioral Health Agency
- Omaha, NE
- NPI 1912235458
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634515200000",
"number": "1801353966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1430 SOUTH ST",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685022467",
"telephone_number": "531-500-4429",
"fax_number": "402-939-0734"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1430 SOUTH ST",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685022467",
"telephone_number": "531-500-4429"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHRISTIAN",
"first_name": "GLORIA",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-25",
"last_updated": "2021-10-18",
"certification_date": "2021-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "12810",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lincoln, NE
- Roy A Christensen, M.S., CCC-A, F-AAA
- Susan M Christensen, DDS
- Chantielle Christenson
- Christian Counseling and Guidance, Inc.
- Christian Retirement Homes Inc (Eastmont Towers)
- Janice Doylene Christian
- Kerri Lynn Christian, PHARM.D.
- Brad C Christiansen, PA-C
- Elaine Christiansen, APRN
- Kathleen Christine Christiansen
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.