Individual provider Active NPI

Mindy S Crouch, LCSW, LIMHP

  • Clinical Social Worker
  • Omaha, NE
National Provider Identifier
1982843603
Registry record updated Feb 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1226, 3193, 510 Issued in NE
Practice address
3213 N 90TH St
Omaha, NE 68134-4707
Phone
(402) 321-8995
NPI assigned
Feb 19, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 1226, 3193, 510 NE Primary

Addresses

Primary practice location

3213 N 90TH St
Omaha, NE 68134-4707

Mailing address

20921 Maple Cir
Gretna, NE 68028-4274
Phone (402) 321-8995

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
I20090319000035 NE Practitioner - Clinical Social Worker 0547327579 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pando Geriatric Counseling, PCGroup PAC ID 2567632458, 9 clinicians

Practice addresses (Care Compare)

11620 Arbor St
Suite 101
Omaha, NE 68144-2972
Phone (402) 321-8995

3110 Scott Cir
Omaha, NE 68112-2604
Phone (402) 455-6636

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1226, 3193, 510NEMDClinical Social Worker
1226NEMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pando Geriatric Counseling, PC CurrentSince Jun 16, 2011 Accepting new patients
No Coast Counseling LLC Past Accepting new patients

Locations

600 Brookestone Meadows Plz
Elkhorn, NE 68022
Phone (402) 289-2696

2824 N 66th Ave
Omaha, NE 68104
Phone (402) 321-8995

3110 Scott Cir
Omaha, NE 68112
Phone (402) 455-6636

11620 Arbor St
Ste 101
Omaha, NE 68144
Phone (402) 321-8995

1540 N 72nd St
Omaha, NE 68114
Phone (402) 393-8693

6032 Ville de Sante Dr
Omaha, NE 68104
Phone (402) 571-2016

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": "1235001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235001600000",
    "number": "1982843603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20921 MAPLE CIR",
            "city": "GRETNA",
            "state": "NE",
            "postal_code": "680284274",
            "telephone_number": "402-321-8995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3213 N 90TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681344707",
            "telephone_number": "402-321-8995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROUCH",
        "first_name": "MINDY",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "LCSW, LIMHP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-19",
        "last_updated": "2009-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NE",
            "license": "1226, 3193, 510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.