Individual provider Active NPI

Tessa Nikole Smith

  • Addiction (Substance Use Disorder) Counselor
  • Columbus, NE
National Provider Identifier
1033766209
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
P1690 Issued in NE
Practice address
4432 Sunrise PL
Columbus, NE 68601-3958
Phone
(402) 564-9994
NPI assigned
Aug 22, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X P1690 NE Primary

Addresses

Primary practice location

4432 Sunrise PL
Columbus, NE 68601-3958

Mailing address

4432 Sunrise PL
Columbus, NE 68601-3958

Other practice location 1

4432 Sunrise Pl
Columbus, NE 68601-3958
Phone (402) 564-9994

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

State licenses

LicenseStateTypeSpecialty
P1690NEMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Health Specialists, Inc Seekers of Serenity Place CurrentSince Jul 17, 2021 Accepting new patients
Behavioral Health Specialists Inc Columbus Clinic Addiction (Substance Use Disorder) PastSince Aug 25, 2019 Accepting new patients

Locations

4432 Sunrise Pl
Columbus, NE 68601
Phone (402) 564-9994

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": "1566432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1033766209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4432 SUNRISE PL",
            "city": "COLUMBUS",
            "state": "NE",
            "postal_code": "686013958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4432 SUNRISE PL",
            "city": "COLUMBUS",
            "state": "NE",
            "postal_code": "686013958",
            "telephone_number": "402-564-9994"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4432 Sunrise Pl",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "NE",
            "postal_code": "686013958",
            "country_code": "US",
            "telephone_number": "402-564-9994",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "TESSA",
        "middle_name": "NIKOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-22",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NE",
            "license": "P1690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.