Active NPI
Micheal Miles Pop, L.M.H.P.
- Mental Health Counselor
- Loup City, NE
National Provider Identifier
1881772341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 1303
- Practice address
- 329 J St
Loup City, NE 68853-8118 - Phone
- (308) 745-0329
- Fax
- (308) 745-0329
- NPI assigned
- Nov 1, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 1303 | NE | Primary |
Addresses
Primary practice location
329 J St
Loup City, NE 68853-8118
Mailing address
PO Box 333
Loup City, NE 68853-0333
Phone (308) 745-0329
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10025370600 | Medicaid | NE | |
| 85614 | Other | NE | BLUE CROSS BLUE SHIELD NE |
| 808338000 | Other | NE | MAGELLAN -USER 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
| License | State | Type | Specialty |
|---|---|---|---|
| 1303 | NE | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1881772341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 333",
"city": "LOUP CITY",
"state": "NE",
"postal_code": "688530333",
"telephone_number": "308-745-0329",
"fax_number": "308-745-0329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "329 J ST",
"city": "LOUP CITY",
"state": "NE",
"postal_code": "688538118",
"telephone_number": "308-745-0329",
"fax_number": "308-745-0329"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POP",
"first_name": "MICHEAL",
"middle_name": "MILES",
"name_prefix": "Mr.",
"credential": "L.M.H.P.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "1303",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025370600",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD NE",
"identifier": "85614",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN -USER NAME",
"identifier": "808338000",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Loup City, NE
- Loup City Health Care Inc (Rose Lane Home)
- Loup City RX Shoppe Inc (Loup City Rx Shoppe)
- Loup City, Ashton & Rockville Cooperative Ambulance Service (Loup City Coop Ambulance)
- Jared Michael Manhold
- Lacie McGee
- Roger C. MC Cartney, O.D.,and Brandon a. Blair, O.D.,P.C. (Professional Eyecare)
- Jessica Lynn Rozmiarek, RN
- School District 15 County of Sherman
- Sherm County Senior Center, Inc.
- Sara Ann Smedra, DPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.