KRYSTAL FROST (NPI# 1104219500) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104219500 |
| Entity Type | Individual |
| Full Name | KRYSTAL FROST |
| Practice Address |
1941 S 42nd St Ste 129 Omaha NE 68105-2938 |
| Practice Telephone | 4028719979 |
| Practice Fax Number | 4026149947 |
| Mailing Telephone | 4028719979 |
| Mailing Fax Number | 4026149947 |
| Enumeration Date | 2015-03-09 |
| Last Update Date | 2015-03-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 10025769200 | 05 |
| Street Address |
1941 S 42ND ST STE 129 |
| City | OMAHA |
| State | NE |
| Zip Code | 68105-2938 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710180369 | Carrie Jo Durant | Counselor | 1941 S 42nd St Ste 129, Omaha, NE 68105-2938 | 2007-06-08 |
| 1356966766 | Apostle Nursing Home Health Care, LLC | Private Vehicle | 1941 S 42nd St Ste 129, Omaha, NE 68105-2938 | 2020-06-11 |
| 1851763247 | Shalonda Bass | Counselor | 1941 S 42nd St Ste 129, Omaha, NE 68105-2938 | 2015-10-24 |
| 1942671912 | Taylor Ann Kangior | Peer Specialist | 1941 S 42nd St Ste 129, Omaha, NE 68105-2938 | 2015-10-15 |
| 1285041566 | Amanda Garver | Counselor | 1941 S 42nd St Ste 129, Omaha, NE 68105-2938 | 2014-07-17 |
| 1932519428 | Hill Counseling and Consulting, P.C. | Counselor | 1941 S 42nd St Ste 129, Omaha, NE 68105-2938 | 2014-05-06 |
| 1821425299 | Lindsay M Poore | Counselor | 1941 S 42nd St Ste 129, Omaha, NE 68105-2938 | 2013-10-01 |
| 1174873996 | Lacey Warta | Counselor | 1941 S 42nd St Ste 129, Omaha, NE 68105-2938 | 2012-09-19 |
| 1386994507 | Erin M Silver | Counselor | 1941 S 42nd St Ste 129, Omaha, NE 68105-2938 | 2012-09-14 |
| 1710258611 | Harpreet Caur Moore | Counselor | 1941 S 42nd St Ste 129, Omaha, NE 68105-2938 | 2012-01-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679018030 | Buoyant Family Services Counseling and Consulting LLC | Community/Behavioral Health | The Center 1941 South 42nd Street, Suite 416 S, Omaha, NE 68105 | 2016-12-21 |
| 1497104442 | Michael Lee Powell | Family Medicine | 4305 Dewey Ave, Omaha, NE 68105 | 2016-06-10 |
| 1164896361 | Kyla Haner | Counselor | 1941 S. 42nd St. Ste 514, Omaha, NE 68105 | 2015-11-25 |
| 1114359189 | Kayli Ann Bendlin | Pharmacist | 4101 Woolworth Ave.-mailstop 119, Va Medical Center-pharmacy Department, Omaha, NE 68105 | 2013-08-01 |
| 1740622372 | Ashley M Ortiz | Nurse Practitioner | 4350 Dewey Avenue, Omaha, NE 68105 | 2013-07-24 |
| 1043519655 | Mandy J Hansen | Counselor | 2101 S. 42nd Street, Omaha, NE 68105 | 2011-03-22 |
| 1851537302 | Magda Maria Blanco | Counselor | 1941 South 42nd St Suite 541, Suite 541, Omaha, NE 68105 | 2009-01-05 |
| 1609050848 | James Joseph Shehan | Internal Medicine | 4100 Woolworth, Omaha, NE 68105 | 2007-12-24 |
| 1407051477 | Cristian D Clark | Counselor | 2101 S 42nd Street, Heartland Family Service, Omaha, NE 68105 | 2007-06-19 |
| 1831312305 | Kelli Renae Welvaert | Counselor | 2101 So 42 St, Heartland Family Service, Omaha, NE 68105 | 2007-04-11 |
| Find all providers in zip 68105 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770191272 | Restoration Therapy | Community/Behavioral Health | 6648 Charles St, Omaha, NE 68132-1136 | 2020-07-21 |
| 1174156541 | Wininger Counseling LLC | Community/Behavioral Health | 11414 W Center Rd Ste 315, Omaha, NE 68144-4420 | 2020-02-13 |
| 1861902405 | Adriana Niemann Counseling,l.l.c. | Community/Behavioral Health | 4610 N 126th Ave, Omaha, NE 68164-6901 | 2017-10-10 |
| 1578086294 | Nebraska Family Support Network | Community/Behavioral Health | 3568 Dodge St Ste 2, Omaha, NE 68131 | 2017-07-25 |
| 1679018030 | Buoyant Family Services Counseling and Consulting LLC | Community/Behavioral Health | The Center 1941 South 42nd Street, Suite 416 S, Omaha, NE 68105 | 2016-12-21 |
| 1205379245 | Linnette Kramer | Community/Behavioral Health | 1018 N 105th St, Omaha, NE 68114-2004 | 2016-11-23 |
| 1083157069 | Kara Abbott | Community/Behavioral Health | 9215 S 169th St, Omaha, NE 68136-4195 | 2016-11-23 |
| 1184175408 | Mccullough Counseling & Recovery LLC | Community/Behavioral Health | 6415 Ames Ave, Ste C, Omaha, NE 68104-1924 | 2016-10-21 |
| 1922455708 | Greater Dynamics, Inc. | Community/Behavioral Health | 13006 Boyd Cir, Omaha, NE 68164-1874 | 2016-05-20 |
| 1679929970 | Lionrock Behavioral Health, Inc | Community/Behavioral Health | 2111 S 67th St Ste 300, Omaha, NE 68106-2882 | 2016-05-05 |
| Find all providers in OMAHA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.