Individual provider Active NPI

Christy Wissink, LIMHP

  • Mental Health Counselor
  • Omaha, NE
National Provider Identifier
1881050748
Registry record updated Nov 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1795
Practice address
11414 W Center Rd Ste 300
Omaha, NE 68144-4420
Phone
(402) 639-2901
NPI assigned
Jan 7, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 1795 Primary

Addresses

Primary practice location

11414 W Center Rd Ste 300
Omaha, NE 68144-4420

Mailing address

11414 W Center Rd Ste 300
Omaha, NE 68144-4420

Other names 1

  • Christy Denne 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
I20241004001308 NE Practitioner - Mental Health Counselor 6002347754 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Restore Rebuild Reconnect Counseling CenterGroup PAC ID 3678910809, 4 clinicians

Practice addresses (Care Compare)

1941 S 42ND St
Suite 506
Omaha, NE 68105-2945
Phone (402) 788-4846

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Restore Rebuild Reconnect Counseling Center CurrentSince Jul 8, 2024 Accepting new patients
Hope and Wellness Center Past Accepting new patients
Icare Counseling Mental Health Past Accepting new patients

Locations

11414 W Center Rd
Ste 300
Omaha, NE 68144
Phone (402) 932-2296

1941 S 42nd St
Ste 506
Omaha, NE 68105
Phone (402) 788-4846

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": "1452124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543190400000",
    "number": "1881050748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11414 W CENTER RD STE 300",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681444420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11414 W CENTER RD STE 300",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681444420",
            "telephone_number": "402-639-2901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISSINK",
        "first_name": "CHRISTY",
        "credential": "LIMHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-07",
        "last_updated": "2018-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": "1795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTY",
            "last_name": "DENNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.