Individual provider Active NPI

Kris J Siemer, LMHP, LADC

  • Mental Health Counselor
  • Omaha, NE
National Provider Identifier
1871820522
Registry record updated Aug 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
3536 Issued in NE
Practice address
12020 Shamrock PLZ
Suite 200
Omaha, NE 68154-3537
Phone
(402) 500-0555
Fax
(888) 960-2108
NPI assigned
Nov 17, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2015

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 3536 NE Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 860 NE

Addresses

Primary practice location

12020 Shamrock PLZ
Suite 200
Omaha, NE 68154-3537

Mailing address

12020 Shamrock PLZ
Suite 200
Omaha, NE 68154-3537
Phone (402) 500-0555

Other names 1

  • Kris J Daisley Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
860NEMDAddiction (Substance Use Disorder) Counselor
3536NEMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1258416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440720000000",
    "number": "1871820522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12020 SHAMROCK PLZ",
            "address_2": "SUITE 200",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681543537",
            "telephone_number": "402-500-0555",
            "fax_number": "888-960-2108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12020 SHAMROCK PLZ",
            "address_2": "SUITE 200",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681543537",
            "telephone_number": "402-500-0555",
            "fax_number": "888-960-2108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEMER",
        "first_name": "KRIS",
        "middle_name": "J",
        "credential": "LMHP, LADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-17",
        "last_updated": "2015-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "3536",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NE",
            "license": "860",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRIS",
            "last_name": "DAISLEY",
            "middle_name": "J",
            "credential": "LMHP, LADC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.