Individual provider Active NPI

Erin M Williams, LIMP

  • Mental Health Counselor
  • La Vista, NE
National Provider Identifier
1902070949
Registry record updated Dec 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
3462 Issued in NE
Practice address
10748 Virginia PLZ Ste 107
La Vista, NE 68128-3265
Phone
(402) 933-4411
Fax
(888) 507-5931
NPI assigned
Apr 22, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2023

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 3462 NE Primary

Addresses

Primary practice location

10748 Virginia PLZ Ste 107
La Vista, NE 68128-3265

Mailing address

10909 Mill Valley Road
Omaha, NE 68154-3985
Phone (402) 697-3923

Other identifiers 2

IdentifierTypeStateIssuer
10025332900MedicaidNE
47082303526MedicaidNE

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
I20231220002755 NE Practitioner - Mental Health Counselor 5496105264 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2007
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

11837 Miracle Hills Dr
Suite 202
Omaha, NE 68154-4418
Phone (402) 284-6333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
923NEMDPsychologist
3462NEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Erin Williams LLC Mental Health CurrentSince Nov 1, 2024 Accepting new patients
Focus C3, PC Mental Health CurrentSince Jan 1, 2024 Accepting new patients

Locations

10748 Virginia Plz
Ste 107
Lavista, NE 68128
Phone (402) 933-4411

11837 Miracle Hills Dr
Ste 202
Omaha, NE 68154
Phone (402) 284-6333

Organizations & group practices 2

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": "1208822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701648000000",
    "number": "1902070949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10909 MILL VALLEY ROAD",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681543985",
            "telephone_number": "402-697-3923",
            "fax_number": "402-493-3340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10748 VIRGINIA PLZ STE 107",
            "city": "LA VISTA",
            "state": "NE",
            "postal_code": "681283265",
            "telephone_number": "402-933-4411",
            "fax_number": "888-507-5931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "ERIN",
        "middle_name": "M",
        "credential": "LIMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-22",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "3462",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025332900",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47082303526",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Vista, NE

Sources for this page

Verify at the official NPI Registry.