Individual provider Active NPI

Michael Vincent Stillman, MS, LIMHP

  • Mental Health Counselor
  • Omaha, NE
National Provider Identifier
1003478306
Registry record updated Jul 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2149 Issued in NE
Practice address
2849 S 163Rd PLZ
Omaha, NE 68130-1809
Phone
(712) 314-0834
NPI assigned
Jul 8, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 2149 NE Primary

Addresses

Primary practice location

2849 S 163Rd PLZ
Omaha, NE 68130-1809

Mailing address

2849 S 163Rd PLZ
Omaha, NE 68130-1809
Phone (712) 314-0834

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260409001274 NE Practitioner - Mental Health Counselor 6901371822 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

20521 Riviera Dr
Gretna, NE 68028-4097

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
2149NEMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stillman Counseling Services, LLC Mental Health Current Accepting new patients

Locations

11717 Burt St
Ste 101
Omaha, NE 68154
Phone (402) 218-1471

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1562544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562544000000",
    "number": "1003478306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2849 S 163RD PLZ",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681301809",
            "telephone_number": "712-314-0834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2849 S 163RD PLZ",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681301809",
            "telephone_number": "712-314-0834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STILLMAN",
        "first_name": "MICHAEL",
        "middle_name": "VINCENT",
        "credential": "MS, LIMHP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-07-08",
        "last_updated": "2019-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "2149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.