Heidi Lynne Smith, LIMHP,

Primary specialty

CounselorTaxonomy code 101Y00000X

License

1100 Issued in NE

Practice address

11510 Blondo St Ste 103
Omaha, NE 68164-3846

Phone

(402) 403-0190

Fax

(402) 932-4121

NPI assigned

Nov 12, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Heidi Lynne Madsen Other name

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

Specialty

Mental Health Counselor

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Attachment and Trauma Center of Nebraska LLCGroup PAC ID 5092879148, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Attachment and Trauma Center of Nebraska, LLC

  • Mental Health Counselor
  • Omaha, NE
  • NPI 1881866929
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1289520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724371200000",
    "number": "1013218619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1608 5TH AVE",
            "city": "NEBRASKA CITY",
            "state": "NE",
            "postal_code": "684101535",
            "telephone_number": "402-713-9224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11510 BLONDO ST STE 103",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681643846",
            "telephone_number": "402-403-0190",
            "fax_number": "402-932-4121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "HEIDI",
        "middle_name": "LYNNE",
        "credential": "LIMHP,",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-12",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NE",
            "license": "1100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100257453-00",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100261397-00",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "470376606-31",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEIDI",
            "last_name": "MADSEN",
            "middle_name": "LYNNE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Hailey Smith
• Haleigh M Smith, MSN
• Heath Jon Smith
• Heather Smith, PTA
• Heather Marie Smith
• Isabella Smith
• James Francis Smith Jr., M.D.
• James Francis Smith, M.D.
• James Francis Smith, DDS JD
• James Thomas Smith III

• Counselor in Omaha, NE
• Providers in Omaha, NE by specialty
• Counselor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.