Individual provider Active NPI

Tanya Ann Keith, LCSW

  • Clinical Social Worker
  • Ashland, NE
National Provider Identifier
1992262620
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1260 Issued in NE
Practice address
809 N 17TH Ave
Ashland, NE 68003-1255
Phone
(402) 658-7322
NPI assigned
Feb 28, 2019
Last updated
Mar 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 06351 IA
Clinical Social Worker 1041C0700X 1260 NE Primary
Personal Care Attendant 3747P1801X NU

Addresses

Primary practice location

809 N 17TH Ave
Ashland, NE 68003-1255

Mailing address

809 N 17TH Ave
Ashland, NE 68003-1255
Phone (402) 658-7322

Other practice location 1

1820 Hillcrest Dr
Bellevue, NE 68005-3636
Phone (402) 682-6599

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
I20190521000791 NE Practitioner - Clinical Social Worker 7214270982 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
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
06351IAMDClinical Social Worker
1260NEMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Pando Geriatric Counseling, PC CurrentSince May 3, 2019 Accepting new patients
No Coast Counseling LLC Past Accepting new patients

Locations

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

11932 Arbor St
Ste 104
Omaha, NE 68144
Phone (402) 321-8995

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1551312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1992262620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 N 17TH AVE",
            "city": "ASHLAND",
            "state": "NE",
            "postal_code": "680031255",
            "telephone_number": "402-658-7322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 N 17TH AVE",
            "city": "ASHLAND",
            "state": "NE",
            "postal_code": "680031255",
            "telephone_number": "402-658-7322"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1820 Hillcrest Dr",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "NE",
            "postal_code": "680053636",
            "country_code": "US",
            "telephone_number": "402-682-6599",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEITH",
        "first_name": "TANYA",
        "middle_name": "ANN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-28",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "06351",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NE",
            "license": "1260",
            "primary": true
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, NE

Sources for this page

Verify at the official NPI Registry.