Individual provider Active NPI

Kelli Parsons, LIMHP

  • Clinical Social Worker
  • Columbus, NE
National Provider Identifier
1831483239
Registry record updated Mar 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1519 Issued in NE
Practice address
3805 25TH St
Columbus, NE 68601-2233
Phone
(402) 500-6870
Fax
(402) 500-6871
NPI assigned
Jun 2, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 1870 NE
Clinical Social Worker 1041C0700X 1519 NE Primary

Addresses

Primary practice location

3805 25TH St
Columbus, NE 68601-2233

Mailing address

1800 W Pasewalk Ave Ste a
Norfolk, NE 68701-5657
Phone (402) 500-6870

Other identifiers 1

IdentifierTypeStateIssuer
1831483239MedicaidNE

Other names 1

  • Kelli Faltys Former name

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
I20230925002339 NE Practitioner - Clinical Social Worker 5395199376 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1519NEMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cor Therapeutic Services, LLC Mental Health CurrentSince Sep 11, 2023 Accepting new patients
Mental and Behavioral Health, Inc. Mental Health Past Accepting new patients

Locations

1800 W Pasewalk Ave
Ste A
Norfolk, NE 68701
Phone (402) 369-2975

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1306972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679961600000",
    "number": "1831483239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 W PASEWALK AVE STE A",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687015657",
            "telephone_number": "402-500-6870",
            "fax_number": "402-500-6871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3805 25TH ST",
            "city": "COLUMBUS",
            "state": "NE",
            "postal_code": "686012233",
            "telephone_number": "402-500-6870",
            "fax_number": "402-500-6871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARSONS",
        "first_name": "KELLI",
        "name_prefix": "Miss",
        "credential": "LIMHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-02",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "1870",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NE",
            "license": "1519",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1831483239",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLI",
            "last_name": "FALTYS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbus, NE

Sources for this page

Verify at the official NPI Registry.