Individual provider Active NPI

Kyra Gans

  • Mental Health Counselor
  • Kearney, NE
National Provider Identifier
1972194124
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
3528 Issued in NE
Practice address
2315 West 39TH St.
Kearney, NE 68845
Phone
(308) 440-2817
Fax
(308) 224-3711
NPI assigned
Jan 31, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2024

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 3528 NE Primary

Addresses

Primary practice location

2315 West 39TH St.
Kearney, NE 68845

Mailing address

2315 West 39TH St.
Kearney, NE 68845
Phone (308) 440-2817

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
I20240828004040 NE Practitioner - Mental Health Counselor 6305385824 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McDowell Counseling and Associates LLCGroup PAC ID 4981067030, 3 clinicians

Practice addresses (Care Compare)

2315 W 39TH St
Suite 102
Kearney, NE 68845-8327
Phone (308) 440-2817

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3528NEMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
McDowell Counseling & Associates, LLC Mental Health CurrentSince Aug 1, 2024 Accepting new patients
Monty Shultz Counseling & Neurofeedback LLC Mental Health PastSince Oct 1, 2019 Accepting new patients

Locations

2002 Central Ave
Kearney, NE 68847
Phone (308) 627-4743

2315 W 39th St
Ste 102
Kearney, NE 68845
Phone (308) 440-2817

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": "1612051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1972194124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 WEST 39TH ST.",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "68845",
            "telephone_number": "308-440-2817",
            "fax_number": "308-224-3711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 WEST 39TH ST.",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "68845",
            "telephone_number": "308-440-2817",
            "fax_number": "308-224-3711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANS",
        "first_name": "KYRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-31",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "3528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kearney, NE

Sources for this page

Verify at the official NPI Registry.