JODY L DETWIELER LIMHP, LCSW
NPI 1962622746
Counselor - Mental Health in Grand Island, NE

Q: What is Jody Detwieler's NPI number?

The NPI number for Jody Detwieler is 1962622746. It was assigned to this individual provider in the NPPES registry on April 26, 2007. The provider is also known as Jody L Dye.

Q: What is Jody Detwieler's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Jody Detwieler was last updated on April 12, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 26, 2007PECOS EnrolledAccepts Medicare Assignment

2608 OLD FAIR RD, GRAND ISLAND, NE 68803(308) 382-5297(308) 382-5315 Get Directions Write a Review

NPPES record last updated: April 12, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Jody L Detwieler Limhp, Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JODY L DETWIELER LIMHP, LCSW (NPI 1962622746) is an individual mental health provider in Grand Island, Nebraska and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1962622746

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameJODY L DETWIELERCredential: LIMHP, LCSW

Location Address2608 OLD FAIR RDGrand Island, NE 68803-5271

Mailing Address2608 Old Fair RdGrand Island, NE 68803-5271 · (308) 382-5297 · Fax (308) 382-5315

Phone(308) 382-5297

Fax(308) 382-5315

Sole ProprietorNo

Medical School CMSOtherGraduated 2005

Enumeration DateApril 26, 2007

Last NPPES UpdateApril 12, 2021

NPPES CertifiedApril 12, 2021

✔ NPI 1962622746 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 2006022486 (MO)

2608 OLD FAIR RD, Grand Island, NE 68803

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Other Names 1

Former Name (1)Jody L Dye

Other Identifiers 1

Medicaid10025173100NE

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jody L Detwieler Limhp, Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6800204942

PECOS Enrollment IDI20210409001058

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. JOAN E SCHWAN LMHP

Counselor (Mental Health)