Individual provider Active NPI

Anne Marie Marquardt, LIMHP

  • Mental Health Counselor
  • Omaha, NE
National Provider Identifier
1831179639
Registry record updated Aug 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
336 Issued in NE
Practice address
10824 Old Mill Road, Ste 21
Omaha, NE 68154-2642
Phone
(402) 330-6060
Fax
(402) 330-6108
NPI assigned
Jan 18, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 1574 NE
Counselor 101Y00000X 336 NE
Mental Health Counselor 101YM0800X 336 NE Primary

Addresses

Primary practice location

10824 Old Mill Road, Ste 21
Omaha, NE 68154-2642

Mailing address

10824 Old Mill Road, Ste 21
Omaha, NE 68154-2642
Phone (402) 330-6060

Other identifiers 3

IdentifierTypeStateIssuer
11704648OtherNECAQH
47-077205426MedicaidNE
84868OtherNEBLUE CROSS BLUE SHIELD

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
I20240119001152 NE Practitioner - Mental Health Counselor 9931346996 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
Group practices
Therapy Resource Associates IncGroup PAC ID 8729971049, 8 clinicians

Practice addresses (Care Compare)

10824 Old Mill Rd
Suite 21
Omaha, NE 68154-2642
Phone (402) 330-6060

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1574NEMDCounselor
971NEMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Resource Associates, Inc. Counselor CurrentSince Jan 1, 2024 Accepting new patients
Gray Counseling, PC Counselor Past Accepting new patients
Acapa of Omaha, P.C. Past Accepting new patients

Locations

10824 Old Mill Rd
Ste 21
Omaha, NE 68154
Phone (402) 330-6060

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": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564963200000",
    "number": "1831179639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10824 OLD MILL ROAD, STE 21",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681542642",
            "telephone_number": "402-330-6060",
            "fax_number": "402-330-6108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10824 OLD MILL ROAD, STE 21",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681542642",
            "telephone_number": "402-330-6060",
            "fax_number": "402-330-6108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARQUARDT",
        "first_name": "ANNE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LIMHP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-18",
        "last_updated": "2019-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NE",
            "license": "1574",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NE",
            "license": "336",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "336",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11704648",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47-077205426",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "84868",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.