Organization Active NPI

Seeds of Change Counseling, LLC

  • Mental Health Counselor
  • Hampton, NE
National Provider Identifier
1013706654
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
SEEDS OF CHANGE COUNSELING, LLC
Practice address
528 2ND St
Hampton, NE 68843-9336
Phone
(314) 629-2315
NPI assigned
May 1, 2025
Last updated
May 1, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2025

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

Authorized official

Name
Andrea Rose De la Cruz, LIMHP, LPCNPI 1427349638
Title
Owner/Therapist
Phone
(314) 629-2315

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X NU
Mental Health Counselor 101YM0800X NU Primary
Professional Counselor 101YP2500X NU

Addresses

Primary practice location

528 2ND St
Hampton, NE 68843-9336

Mailing address

528 2ND St
Hampton, NE 68843-9336
Phone (314) 629-2315

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250708002153 NE Part B Supplier - Clinic/Group Practice 1153835681 Receives reassigned benefits from 1 practitioner
Practice locations: Lincoln, NE; Aurora, NE

National Provider Directory

National Provider Directory

Locations

207 S 16th St
Ste C
Aurora, NE 68818
Phone (314) 629-2315

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1746057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746057600000",
    "number": "1013706654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "528 2ND ST",
            "city": "HAMPTON",
            "state": "NE",
            "postal_code": "688439336",
            "telephone_number": "314-629-2315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "528 2ND ST",
            "city": "HAMPTON",
            "state": "NE",
            "postal_code": "688439336",
            "telephone_number": "314-629-2315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEEDS OF CHANGE COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-01",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A",
        "authorized_official_last_name": "DE LA CRUZ",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "314-629-2315",
        "authorized_official_credential": "LIMHP, LPC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampton, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.