Individual provider Active NPI

Kristina Zechmann, LMSW

  • Mental Health Counselor
  • Omaha, NE
National Provider Identifier
1851787212
Registry record updated Nov 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1846 Issued in NE
Practice address
5321 S 138TH St
Omaha, NE 68137
Phone
(402) 895-4000
Fax
(866) 895-8245
NPI assigned
Apr 13, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 008206 IA
Mental Health Counselor 101YM0800X 1846 NE Primary

Addresses

Primary practice location

5321 S 138TH St
Omaha, NE 68137

Mailing address

5321 S 138TH St
Omaha, NE 68137-2913
Phone (402) 895-4000

Other practice location 1

300 W Broadway Ste 107
Council Bluffs, IA 51503-4489
Phone (712) 328-3700

Other practice location 2

5321 S 138th St
Omaha, NE 68137
Phone (402) 895-4000

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
I20181130001661 NE Practitioner - Clinical Social Worker 9032453188 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Great Plains Mental Health Associates LLCGroup PAC ID 9537422332, 13 clinicians

Practice addresses (Care Compare)

4610 S 133Rd St
Suite 109
Omaha, NE 68137-1333
Phone (402) 614-0010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
008206IAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Great Plains Mental Health Associates LLC Mental Health CurrentSince Dec 1, 2018 Accepting new patients

Locations

4610 S 133rd St
Ste 109
Omaha, NE 68137
Phone (402) 614-0010

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21060/brand/4/csg/1/fhir/r4

Organizations & group practices 1

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": "1428883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542585600000",
    "number": "1851787212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5321 S 138TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681372913",
            "telephone_number": "402-895-4000",
            "fax_number": "866-895-8245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5321 S 138TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "68137",
            "telephone_number": "402-895-4000",
            "fax_number": "866-895-8245"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 W Broadway Ste 107",
            "address_purpose": "LOCATION",
            "city": "Council Bluffs",
            "state": "IA",
            "postal_code": "515034489",
            "country_code": "US",
            "telephone_number": "712-328-3700",
            "fax_number": "712-328-3721",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5321 S 138th St",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "68137",
            "country_code": "US",
            "telephone_number": "402-895-4000",
            "fax_number": "866-895-8245",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZECHMANN",
        "first_name": "KRISTINA",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-13",
        "last_updated": "2018-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IA",
            "license": "008206",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "1846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.