Individual provider Active NPI

Amy Vangerpen

  • Mental Health Counselor
  • Lincoln, NE
National Provider Identifier
1801672456
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
13581 Issued in NE
Practice address
1620 W Burnham St
Lincoln, NE 68522-9224
Phone
(402) 833-8160
NPI assigned
Sep 7, 2023
Last updated
Sep 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 13581 NE Primary

Addresses

Primary practice location

1620 W Burnham St
Lincoln, NE 68522-9224

Mailing address

1919 S 25TH St
Lincoln, NE 68502-3016
Phone (402) 890-0754

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
I20260519000563 NE Practitioner - Mental Health Counselor 9638648728 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1919 S 25TH St
Lincoln, NE 68502-3016

4830 Wilshire Blvd
Suite 104
Lincoln, NE 68504-3365

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13581NEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Ubu Therapy Farms, LLC Mental Health CurrentSince Sep 10, 2023 Accepting new patients
A Light in the Darkness Counseling, LLC CurrentSince Sep 21, 2025 Accepting new patients

Locations

4830 Wilshire Blvd
Ste 104
Lincoln, NE 68504
Phone (402) 617-0317

Organizations & group practices 2

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": "1694044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1801672456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 S 25TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685023016",
            "telephone_number": "402-890-0754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 W BURNHAM ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685229224",
            "telephone_number": "402-833-8160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANGERPEN",
        "first_name": "AMY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-07",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "13581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.