Active NPI
Hannah Couillard, MS.ED., LMHP
- Mental Health Counselor
- Lincoln, NE
National Provider Identifier
1003353467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 5086
- Practice address
- 5539 S 27TH St Ste 104
Lincoln, NE 68512-1600 - Phone
- (308) 340-5802
- NPI assigned
- Jan 24, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 5086 | NE | Primary |
| Mental Health Counselor | 101YM0800X | 10778 | NE |
Addresses
Primary practice location
5539 S 27TH St Ste 104
Lincoln, NE 68512-1600
Mailing address
2641 W a St
Lincoln, NE 68522-1116
Phone (308) 340-5802
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 470398819 | Medicaid | NE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5086 | NE | MD | Mental Health Counselor |
| 10778 | NE | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583971200000",
"number": "1003353467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2641 W A ST",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685221116",
"telephone_number": "308-340-5802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5539 S 27TH ST STE 104",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685121600",
"telephone_number": "308-340-5802"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COUILLARD",
"first_name": "HANNAH",
"credential": "MS.ED., LMHP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-01-24",
"last_updated": "2020-03-12",
"certification_date": "2020-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "5086",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "10778",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "470398819",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.