Individual provider Active NPI

Natalie A Wagner, LIMHP, LADC

  • Mental Health Counselor
  • Omaha, NE
National Provider Identifier
1013130913
Registry record updated Mar 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
482 Issued in NE
Practice address
7101 Newport Ave
Omaha, NE 68152-2164
Phone
(402) 572-2916
Fax
(402) 572-3258
NPI assigned
Apr 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 7909 NE
Mental Health Counselor 101YM0800X 482 NE Primary

Addresses

Primary practice location

7101 Newport Ave
Omaha, NE 68152-2164

Mailing address

8901 Indian Hills Dr Ste 350B
Omaha, NE 68114-4038
Phone (402) 991-9630

Other identifiers 1

IdentifierTypeStateIssuer
47083066228MedicaidNE

Other names 1

  • Natalie A Sariscany Former name

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
I20240805004029 NE Practitioner - Mental Health Counselor 1052858297 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

13917 Gold Cir
Omaha, NE 68144-2359
Phone (402) 991-9630

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
482NEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Omaha Insomnia and Psychiatric Services, LLC Mental Health CurrentSince Jun 29, 2024 Accepting new patients
Omaha Insomnia and Psychiatric Services, LLC CurrentSince Jun 29, 2024 Accepting new patients

Locations

8901 Indian Hills Dr
Ste 350B
Omaha, NE 68114
Phone (402) 390-5119

13917 Gold Cir
Omaha, NE 68144
Phone (402) 991-9630

Interoperability endpoints

  • Direct secure messaging: omahainsomniaandpsychiatricassociates.nataliewagner@133510.advancedmd-direct.com

Organizations & group practices 2

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": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585008000000",
    "number": "1013130913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8901 INDIAN HILLS DR STE 350B",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681144038",
            "telephone_number": "402-991-9630",
            "fax_number": "402-502-0795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7101 NEWPORT AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681522164",
            "telephone_number": "402-572-2916",
            "fax_number": "402-572-3258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "NATALIE",
        "middle_name": "A",
        "credential": "LIMHP, LADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-10",
        "last_updated": "2020-03-24",
        "certification_date": "2020-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "7909",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "482",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47083066228",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NATALIE",
            "last_name": "SARISCANY",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.