Individual provider Active NPI

Gloria Christian, MA

  • Mental Health Counselor
  • Lincoln, NE
National Provider Identifier
1801353966
Registry record updated Oct 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
12810 Issued in NE
Practice address
1430 South St
Lincoln, NE 68502-2467
Phone
(531) 500-4429
NPI assigned
Feb 25, 2019
Last updated
Oct 18, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240708003372 NE Practitioner - Mental Health Counselor 7012452642

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
12810NEMDMental Health Counselor
3406NEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Behavioral Health Services CurrentSince Jan 30, 2023 Accepting new patients
KVC Behavioral Healthcare Nebraska, Inc CurrentSince Apr 29, 2024 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.

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

Sources for this page

Verify at the official NPI Registry.