Active NPI
Maria T Kerkman, MSW, PMSW, PMHP
- Mental Health Counselor
- Omaha, NE
National Provider Identifier
1912779364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 13662
- Practice address
- 1299 Farnam St Ste 300
Omaha, NE 68102-1857 - Phone
- (402) 522-6806
- NPI assigned
- Oct 27, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 7938 | NE | |
| Mental Health Counselor | 101YM0800X | 13662 | NE | Primary |
Addresses
Primary practice location
1299 Farnam St Ste 300
Omaha, NE 68102-1857
Mailing address
7809 S Pinewood Ave
Sioux Falls, SD 57108-3500
Phone (308) 370-9900
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 |
|---|---|---|---|
| 13662 | NE | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698364800000",
"number": "1912779364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7809 S PINEWOOD AVE",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571083500",
"telephone_number": "308-370-9900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1299 FARNAM ST STE 300",
"city": "OMAHA",
"state": "NE",
"postal_code": "681021857",
"telephone_number": "402-522-6806"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KERKMAN",
"first_name": "MARIA",
"middle_name": "T",
"credential": "MSW, PMSW, PMHP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-10-27",
"last_updated": "2023-10-27",
"certification_date": "2023-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NE",
"license": "7938",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "13662",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.