NPIMap

Organization Active NPI

Bryce Riessland Counseling LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Kearney, NE
National Provider Identifier
1902395924
Registry record updated May 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
3527 Issued in NE
Legal business name
BRYCE RIESSLAND COUNSELING LLC
Practice address
124 W 46TH St Ste 105
Kearney, NE 68847-8348
Phone
(308) 440-0948
Fax
(308) 388-5545
NPI assigned
May 4, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2018

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

Authorized official

Name
Bryce Donald RiesslandNPI 1467632240
Title
Counselor
Phone
(308) 440-0948

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 3527 NE Primary

Addresses

Primary practice location

124 W 46TH St Ste 105
Kearney, NE 68847-8348

Mailing address

32015 Hawk Rd
Pleasanton, NE 68866-3165
Phone (308) 440-0948

Other practice location 1

32015 Hawk Rd
Pleasanton, NE 68866-3165
Phone (308) 440-0948

Other practice location 2

2804 2nd Ave
Kearney, NE 68847-3500
Phone (308) 237-5951

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241123000215 NE Part B Supplier - Clinic/Group Practice 6406381722 Receives reassigned benefits from 1 practitioner
Practice locations: Kearney, NE

National Provider Directory

National Provider Directory

Locations

124 W 46th St
Ste 105
Kearney, NE 68847
Phone (308) 440-0948

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1525392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525392000000",
    "number": "1902395924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32015 HAWK RD",
            "city": "PLEASANTON",
            "state": "NE",
            "postal_code": "688663165",
            "telephone_number": "308-440-0948",
            "fax_number": "308-388-5545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 W 46TH ST STE 105",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688478348",
            "telephone_number": "308-440-0948",
            "fax_number": "308-388-5545"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "32015 Hawk Rd",
            "address_purpose": "LOCATION",
            "city": "Pleasanton",
            "state": "NE",
            "postal_code": "688663165",
            "country_code": "US",
            "telephone_number": "308-440-0948",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2804 2nd Ave",
            "address_purpose": "LOCATION",
            "city": "Kearney",
            "state": "NE",
            "postal_code": "688473500",
            "country_code": "US",
            "telephone_number": "308-237-5951",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BRYCE RIESSLAND COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-04",
        "last_updated": "2018-05-04",
        "status": "A",
        "authorized_official_last_name": "RIESSLAND",
        "authorized_official_first_name": "BRYCE",
        "authorized_official_middle_name": "DONALD",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "308-440-0948"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NE",
            "license": "3527",
            "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 May 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.