Individual provider Active NPI

Sally Marie Cox

  • Mental Health Counselor
  • Hastings, NE
National Provider Identifier
1073798492
Registry record updated Jan 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
3289 Issued in NE
Practice address
616 W 5TH St
Hastings, NE 68901-5104
Phone
(402) 463-5684
NPI assigned
Jan 3, 2008
Last updated
Jan 3, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X P-605 NE
Mental Health Counselor 101YM0800X 3289 NE Primary

Addresses

Primary practice location

616 W 5TH St
Hastings, NE 68901-5104

Mailing address

616 W 5TH St
Hastings, NE 68901-5104

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
I20240206002674 NE Practitioner - Mental Health Counselor 9032552179 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)

616 W 5TH St
Hastings, NE 68901-5104
Phone (402) 463-5684

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P-605NEMDAddiction (Substance Use Disorder) Counselor
3289NEMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
South Central Behavioral Services CurrentSince Jan 1, 2024 Accepting new patients
South Central Behavioral Services CurrentSince Jan 1, 2024 Accepting new patients
South Central Behavioral Services Current Accepting new patients

Locations

616 W 5th St
Hastings, NE 68901
Phone (402) 463-5684

3810 Central Ave
Kearney, NE 68847
Phone (308) 237-5951

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1199318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199318400000",
    "number": "1073798492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 W 5TH ST",
            "city": "HASTINGS",
            "state": "NE",
            "postal_code": "689015104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 W 5TH ST",
            "city": "HASTINGS",
            "state": "NE",
            "postal_code": "689015104",
            "telephone_number": "402-463-5684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COX",
        "first_name": "SALLY",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-03",
        "last_updated": "2008-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NE",
            "license": "P-605",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "3289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hastings, NE

Sources for this page

Verify at the official NPI Registry.