Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Beau Anthony Caddell, PLMHP

Individual provider Mental Health Counselor · NPI 1417655325

Beau Anthony Caddell, PLMHP is a Mental Health Counselor in Omaha, Nebraska. Qualified in 2020, 6 years ago. Practices with Integrated Therapy Resources, a 3-clinician group and accepts Medicare assignment. Licensed in Nebraska.

Years since qualifying
6
Licensed in
NE
In the registry since
2023
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Practice location Address checks out

15705 W Dodge Rd Ste 102
Omaha, NE 68118
Phone: (402) 575-5577
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 13318 (NE)

Record details

NPI number1417655325
Entity typeIndividual (Type 1)
GenderMale
Credentials PLMHP
Sole proprietorNo
NPI enumeratedFebruary 20, 2023
Last updated in NPPESMarch 7, 2023
Certification dateMarch 7, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Integrated Therapy Resources — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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