Individual provider Active NPI

Patrick L Kreifels, LCMSW

  • Mental Health Counselor
  • Lincoln, NE
National Provider Identifier
1871883512
Registry record updated Aug 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
4463 Issued in NE
Practice address
7615 Nashway Rd
Lincoln, NE 68516-3397
Phone
(402) 440-1764
NPI assigned
Apr 14, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2014

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 4463 NE Primary
Clinical Social Worker 1041C0700X 1549 NE

Addresses

Primary practice location

7615 Nashway Rd
Lincoln, NE 68516-3397

Mailing address

7615 Nashway Rd
Lincoln, NE 68516-3397
Phone (402) 440-1764

Other identifiers 1

IdentifierTypeStateIssuer
96045OtherNEBCBS

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
I20140821001222 NE Practitioner - Clinical Social Worker 7810115524 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7615 Nashway Rd
Lincoln, NE 68516-3397
Phone (402) 440-1764

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4463NEMDMental Health Counselor
1549NEMDChiropractor

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": "1302739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407801600000",
    "number": "1871883512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7615 NASHWAY RD",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685163397",
            "telephone_number": "402-440-1764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7615 NASHWAY RD",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685163397",
            "telephone_number": "402-440-1764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREIFELS",
        "first_name": "PATRICK",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "LCMSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-14",
        "last_updated": "2014-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "4463",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NE",
            "license": "1549",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "96045",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.