MS. SHELLY L NYKODYM (NPI# 1598820912) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598820912 |
| Entity Type | Individual |
| Full Name | MS. SHELLY L NYKODYM |
| Credential | LMHP |
| Practice Address |
14100 Crawford Rd Boys Town NE 68010 |
| Mailing Address |
555 N 30th St Omaha NE 68131-2136 |
| Practice Telephone | 4024981439 |
| Practice Fax Number | 4024981592 |
| Mailing Telephone | 4024986509 |
| Mailing Fax Number | 4024986357 |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 2407 | NE | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | BCBS | 82367 | 01 |
| NE | MIDLANDS CHOICE | 247175 | 01 |
| Street Address |
14100 CRAWFORD RD |
| City | BOYS TOWN |
| State | NE |
| Zip Code | 68010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174688451 | Melissa S Kula | Counselor | 14100 Crawford Rd, Boys Town, NE 68010 | 2006-12-27 |
| 1164587440 | Jodi L Gasper | Counselor | 14100 Crawford Rd, Boys Town, NE 68010 | 2006-12-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669021796 | Melissa Prickett | Family Medicine | 14000 Hospital Road, Boys Town, NE 68010 | 2019-09-11 |
| 1649764234 | Sandra Andres | Counselor | 14092 Hospital Rd, Boys Town, NE 68010 | 2018-06-18 |
| 1689053456 | Jennifer Inbarasu | Psychiatry & Neurology | 14092 Boys Town Hospital Rd, Boys Town, NE 68010 | 2015-05-26 |
| 1467857763 | Kimberly Christine Alexander | Counselor | 14188 Mother Theresa Ln, Boys Town, NE 68010 | 2014-10-29 |
| 1205256500 | Kimberly D Mackey | Counselor | Boys Town National Research Hospital Rtc2, 14092 Hospital Road, Boys Town, NE 68010 | 2014-04-24 |
| 1922266030 | Rachel Marie Brabec | Counselor | 14092 Hospital Road, Boys Town, NE 68010 | 2008-05-26 |
| 1275600587 | Douglas F Spellman | Psychiatry & Neurology | 14092 Boys Town Hospital Road, Boys Town, NE 68010 | 2006-11-29 |
| 1548873656 | Carolyn Romano | Pharmacist | 14000 Hospital Road, Boys Town, NE 68010 | 2020-08-28 |
| 1952869463 | Megan Kathleen Richter | Counselor | 14092 Hospital Road, Boys Town, NE 68010 | 2019-03-05 |
| 1932667482 | Marissa Thomas | Counselor | 14092 Hospital Road, Boys Town, NE 68010 | 2019-03-04 |
| Find all providers in zip 68010 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467857763 | Kimberly Christine Alexander | Counselor | 14188 Mother Theresa Ln, Boys Town, NE 68010 | 2014-10-29 |
| 1205256500 | Kimberly D Mackey | Counselor | Boys Town National Research Hospital Rtc2, 14092 Hospital Road, Boys Town, NE 68010 | 2014-04-24 |
| 1265405419 | Father Flanagan's Boys Home | Counselor | 13460 Walsh Dr, Boys Town, NE 68010-7529 | 2006-02-08 |
| 1679199889 | Kalee Marie Gross | Counselor | 13460 Walsh Dr, Boys Town, NE 68010-7529 | 2020-06-23 |
| 1891318184 | James Lorenz Merle | Counselor | 13460 Walsh Dr, Boys Town, NE 68010-7529 | 2020-05-21 |
| 1053933705 | Emma Grace Larson | Counselor | 13460 Walsh Dr, Boys Town, NE 68010-7529 | 2020-05-15 |
| 1639791759 | Samantha Frances Barney | Counselor | 13460 Walsh Dr, Boys Town, NE 68010-7529 | 2020-05-12 |
| 1407494495 | Marlee Jo Denton | Counselor | 13460 Walsh Dr, Boys Town, NE 68010-7529 | 2019-12-20 |
| 1376101956 | Kari Emery | Counselor | 13460 Walsh Dr, Boys Town, NE 68010-7529 | 2019-05-30 |
| 1497312284 | Philip Ross Richard IIi | Counselor | 13460 Walsh Dr, Boys Town, NE 68010-7529 | 2019-05-28 |
| Find all providers in BOYS TOWN | ||||
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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.