MEDICARE: MICHAEL JOHN COUTTS LMHP, PLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor	10086	NE
2	103T00000X	Psychologist	133828	IA
3	103T00000X	Psychologist	898	NE
4	101Y00000X	Counselor	4662	NE
5	101Y00000X	Counselor	505	NE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1477969467
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL JOHN COUTTS LMHP, PLP

Provider Business Mailing Address
First Line	:	13460 WALSH DR
Second Line	:
City	:	BOYS TOWN
State	:	NE
Zip	:	68010-7529
Country	:	US
Telephone Number	:	402-498-3358
Fax Number	:	402-498-3375

Provider Business Practice Location Address
First Line	:	8550 INDIAN HILLS DR STE 203
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68114-4070
Country	:	US
Telephone Number	:	402-955-3900
Fax Number	:	402-955-3920

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/10/2014
Last Update Date	:	01/30/2026

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Directions to “ MICHAEL JOHN COUTTS LMHP, PLP” Practice Location

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