Fremont Family Counseling, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

4745 Issued in NE

Legal business name

FREMONT FAMILY COUNSELING, LLC

Practice address

511 N D St
Fremont, NE 68025-5051

Phone

(402) 720-6853

Fax

(402) 727-0779

NPI assigned

May 20, 2016

Last updated

May 20, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sheena Marie Mikoloyck, MS LMHPNPI 1528278157

Title

Owner

Phone

(402) 720-6853

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

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.

• Sheena Marie Mikoloyck, MS PSYCHOLOGY

  • Mental Health Counselor
  • Fremont, NE
  • NPI 1528278157
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1463702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463702400000",
    "number": "1093162927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 N D ST",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680255051",
            "telephone_number": "402-720-6853",
            "fax_number": "402-727-0779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 N D ST",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680255051",
            "telephone_number": "402-720-6853",
            "fax_number": "402-727-0779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREMONT FAMILY COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-20",
        "last_updated": "2016-05-20",
        "status": "A",
        "authorized_official_last_name": "MIKOLOYCK",
        "authorized_official_first_name": "SHEENA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-720-6853",
        "authorized_official_credential": "MS LMHP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NE",
            "license": "4745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Fremont, NE
• Providers in Fremont, NE by specialty
• Community/Behavioral Health Agency in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.