Individual provider Active NPI

Briana Woodside, LMHP

  • Mental Health Counselor
  • Kearney, NE
National Provider Identifier
1881054260
Registry record updated Feb 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
3568 Issued in NE
Practice address
220 W 15TH St
Kearney, NE 68845-6763
Phone
(308) 236-0500
Fax
(308) 237-5225
NPI assigned
Feb 29, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 10470 NE
Mental Health Counselor 101YM0800X 5430 NE
Social Worker 104100000X 6968 NE
Mental Health Counselor 101YM0800X 3568 NE Primary

Addresses

Primary practice location

220 W 15TH St
Kearney, NE 68845-6763

Mailing address

PO Box 1686
Kearney, NE 68848-1686
Phone (308) 293-1385

Other practice location 1

2222 2nd Ave
Suite 802
Kearney, NE 68847-5354
Phone (308) 237-2304

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
10470NEMDMental Health Counselor
3568NEMDMental Health Counselor
5430NEMDMental Health Counselor
6968NEMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Encouragement & Counseling Center LLC CurrentSince Feb 14, 2021 Accepting new patients

Locations

15 W 22nd St
Kearney, NE 68847
Phone (308) 224-0596

220 W 15th St
Kearney, NE 68845
Phone (308) 224-0596

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": "1456704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708905600000",
    "number": "1881054260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1686",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688481686",
            "telephone_number": "308-293-1385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 W 15TH ST",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688456763",
            "telephone_number": "308-236-0500",
            "fax_number": "308-237-5225"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2222 2nd Ave",
            "address_2": "Suite 802",
            "address_purpose": "LOCATION",
            "city": "Kearney",
            "state": "NE",
            "postal_code": "688475354",
            "country_code": "US",
            "telephone_number": "308-237-2304",
            "fax_number": "402-898-7750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOODSIDE",
        "first_name": "BRIANA",
        "credential": "LMHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-29",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "10470",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "5430",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NE",
            "license": "6968",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "3568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kearney, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; 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.