Organization Active NPI

Advance Counseling Services, LLC

  • Counselor
  • Wayne, NE
National Provider Identifier
1073967014
Registry record updated Apr 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
1548 Issued in NE
Legal business name
ADVANCE COUNSELING SERVICES, LLC
Practice address
220 W 7TH St
Suite 1
Wayne, NE 68787-1302
Phone
(402) 833-5246
Fax
(402) 833-5283
NPI assigned
Apr 15, 2016
Last updated
Apr 15, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2016

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

Authorized official

Name
Janice Lynn Chinn, LIMHP, CPCNPI 1942397674
Title
Owner, Mental Health Therapist
Phone
(402) 833-5246

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
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X 1548 NE Primary

Addresses

Primary practice location

220 W 7TH St
Suite 1
Wayne, NE 68787-1302

Mailing address

220 W 7TH St
Suite 1
Wayne, NE 68787-1302
Phone (402) 833-5246

Other identifiers 1

IdentifierTypeStateIssuer
10025615600MedicaidNE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231221003363 NE Part B Supplier - Clinic/Group Practice 7113377789 Receives reassigned benefits from 1 practitioner
Practice locations: Wayne, NE

National Provider Directory

National Provider Directory

Locations

220 W 7th St
Ste 1
Wayne, NE 68787
Phone (402) 833-5246

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": "1460678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460678400000",
    "number": "1073967014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 W 7TH ST",
            "address_2": "SUITE 1",
            "city": "WAYNE",
            "state": "NE",
            "postal_code": "687871302",
            "telephone_number": "402-833-5246",
            "fax_number": "402-833-5283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 W 7TH ST",
            "address_2": "SUITE 1",
            "city": "WAYNE",
            "state": "NE",
            "postal_code": "687871302",
            "telephone_number": "402-833-5246",
            "fax_number": "402-833-5283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-15",
        "last_updated": "2016-04-15",
        "status": "A",
        "authorized_official_last_name": "CHINN",
        "authorized_official_first_name": "JANICE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER, MENTAL HEALTH THERAPIST",
        "authorized_official_telephone_number": "402-833-5246",
        "authorized_official_credential": "LIMHP, CPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": "NE",
            "license": "1548",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025615600",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2016; 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.