Active NPI
Sheryl R Blaha, MS LMHP, LPC
- Mental Health Counselor
- Ord, NE
National Provider Identifier
1003886458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 3164
- Practice address
- 314 S 14TH St
Suite 106
Ord, NE 68862-1762 - Phone
- (308) 730-1245
- NPI assigned
- Jan 26, 2006
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 1639 | NE | |
| Mental Health Counselor | 101YM0800X | 3164 | NE | Primary |
Addresses
Primary practice location
314 S 14TH St
Suite 106
Ord, NE 68862-1762
Mailing address
314 S 14TH St
Suite 106
Ord, NE 68862-1762
Phone (308) 730-1245
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 47077781326 | 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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3164 | NE | MD | Mental Health Counselor |
| 1639 | NE | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187568000000",
"number": "1003886458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "314 S 14TH ST",
"address_2": "SUITE 106",
"city": "ORD",
"state": "NE",
"postal_code": "688621762",
"telephone_number": "308-730-1245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "314 S 14TH ST",
"address_2": "SUITE 106",
"city": "ORD",
"state": "NE",
"postal_code": "688621762",
"telephone_number": "308-730-1245"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLAHA",
"first_name": "SHERYL",
"middle_name": "R",
"name_prefix": "Mrs.",
"credential": "MS LMHP, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-01-26",
"last_updated": "2007-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NE",
"license": "1639",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "3164",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47077781326",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ord, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.