Individual provider Active NPI

Douglas O Draeger, LMHP

  • Mental Health Counselor
  • Columbus, NE
National Provider Identifier
1972688893
Registry record updated Nov 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2013 Issued in NE
Practice address
2282 E 32ND Ave
Columbus, NE 68601-7233
Phone
(402) 563-9224
Fax
(402) 563-0544
NPI assigned
Oct 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2008

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 2013 NE Primary

Addresses

Primary practice location

2282 E 32ND Ave
Columbus, NE 68601-7233

Mailing address

2282 E 32ND Ave
Columbus, NE 68601-7233
Phone (402) 563-9224

Other identifiers 3

IdentifierTypeStateIssuer
84124OtherNEBLUE CROSS & BLUE SHIELD
10025079900MedicaidNE
229097OtherNEMIDLANDS CHOICE INS

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

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226361600000",
    "number": "1972688893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2282 E 32ND AVE",
            "city": "COLUMBUS",
            "state": "NE",
            "postal_code": "686017233",
            "telephone_number": "402-563-9224",
            "fax_number": "402-563-0544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2282 E 32ND AVE",
            "city": "COLUMBUS",
            "state": "NE",
            "postal_code": "686017233",
            "telephone_number": "402-563-9224",
            "fax_number": "402-563-0544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAEGER",
        "first_name": "DOUGLAS",
        "middle_name": "O",
        "credential": "LMHP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2008-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "2013",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "84124",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025079900",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS CHOICE INS",
            "identifier": "229097",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 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.