Organization Active NPI

Region II Human Services

Doing business as Heartland Couseling Clinic

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • North Platte, NE
National Provider Identifier
1013923382
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
REGION II HUMAN SERVICES
Doing business as
Heartland Couseling Clinic
Practice address
110 N Bailey
North Platte, NE 69103
Phone
(308) 534-6029
Fax
(308) 534-6961
NPI assigned
Jul 31, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Larry D Brown, EDDNPI 1568560431
Title
Administrator
Phone
(308) 534-0440

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

110 N Bailey
North Platte, NE 69103

Mailing address

401 West 1St Street
Ogallala, NE 69153
Phone (308) 284-6767

Other identifiers 3

IdentifierTypeStateIssuer
DB6570OtherRAILROAD MEDICARE
01822OtherNEBCBS
070450OtherTRICARE

Other names 1

  • Heartland Couseling Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041018001156 NE Part B Supplier - Clinic/Group Practice 0143280651 Receives reassigned benefits from 14 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Lexington, NE; MC Cook, NE; North Platte, NE; Ogallala, NE

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Reg II Human SVCS Heart6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1012 W 3rd St
McCook, NE 69001
Phone (308) 345-2770

110 N Bailey Ave
North Platte, NE 69101
Phone (308) 532-4860

401 W 1st St
Ogallala, NE 69153
Phone (308) 284-3084

Practitioners & affiliated clinicians

Practitioners 74

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.

View all 74

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013923382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 WEST 1ST STREET",
            "city": "OGALLALA",
            "state": "NE",
            "postal_code": "69153",
            "telephone_number": "308-284-6767",
            "fax_number": "308-284-3084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 N BAILEY",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "69103",
            "telephone_number": "308-534-6029",
            "fax_number": "308-534-6961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGION II HUMAN SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "308-534-0440",
        "authorized_official_credential": "EDD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DB6570",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "01822",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "070450",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heartland Couseling Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Platte, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.