Individual provider Active NPI

Kathleen McMahon

  • Clinical Social Worker
  • Bellevue, NE
National Provider Identifier
1881858132
Registry record updated Jul 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
709 Issued in NE
Practice address
2211 Peoples Rd
Suite 1
Bellevue, NE 68005-4670
Phone
(402) 682-9694
Fax
(402) 682-9678
NPI assigned
Jul 16, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2008

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 1167 NE
Clinical Social Worker 1041C0700X 709 NE Primary

Addresses

Primary practice location

2211 Peoples Rd
Suite 1
Bellevue, NE 68005-4670

Mailing address

PO Box 34367
Omaha, NE 68134-0367
Phone (402) 393-0163

Other identifiers 1

IdentifierTypeStateIssuer
111324000MedicaidNE

Other names 1

  • Kay McMahon 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)
Enrolled

State licenses

LicenseStateTypeSpecialty
1167NEMDObstetrics & Gynecology Physician
709NEMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Better Living Counseling Services, Inc. Past Accepting new patients

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": "1216166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216166400000",
    "number": "1881858132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34367",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681340367",
            "telephone_number": "402-393-0163",
            "fax_number": "402-393-7187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 PEOPLES RD",
            "address_2": "SUITE 1",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "680054670",
            "telephone_number": "402-682-9694",
            "fax_number": "402-682-9678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMAHON",
        "first_name": "KATHLEEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-16",
        "last_updated": "2008-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "1167",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NE",
            "license": "709",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111324000",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAY",
            "last_name": "MCMAHON",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bellevue, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2008; 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.