Individual provider Active NPI

Stephanie L Beister, LIMHP, MSW

  • Mental Health Counselor
  • Omaha, NE
National Provider Identifier
1093480808
Registry record updated Apr 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2736 Issued in NE
Practice address
1941 S 42ND St Ste 510
Omaha, NE 68105-2945
Phone
(402) 242-3483
Fax
(402) 207-5574
NPI assigned
Aug 13, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2047 NE
Mental Health Counselor 101YM0800X 2736 NE Primary

Addresses

Primary practice location

1941 S 42ND St Ste 510
Omaha, NE 68105-2945

Mailing address

1229 Golden Gate Dr
Papillion, NE 68046-2837
Phone (402) 242-3483

Other practice location 1

1229 Golden Gate Dr
Papillion, NE 68046-2837
Phone (402) 242-3483

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
I20210818000250 NE Practitioner - Clinical Social Worker 7214332071 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1229 Golden Gate Dr
Papillion, NE 68046-2837
Phone (402) 242-3483

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2736NEMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
SLB CurrentSince Jun 1, 2022 Accepting new patients

Locations

1941 S 42nd St
Ste 510
Omaha, NE 68105
Phone (402) 242-3483

1229 Golden Gate Dr
Papillion, NE 68046
Phone (402) 242-3483

Organizations & group practices 1

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": "1628812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712188800000",
    "number": "1093480808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1229 GOLDEN GATE DR",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680462837",
            "telephone_number": "402-242-3483",
            "fax_number": "402-207-5574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1941 S 42ND ST STE 510",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681052945",
            "telephone_number": "402-242-3483",
            "fax_number": "402-207-5574"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1229 Golden Gate Dr",
            "address_purpose": "LOCATION",
            "city": "Papillion",
            "state": "NE",
            "postal_code": "680462837",
            "country_code": "US",
            "telephone_number": "402-242-3483",
            "fax_number": "402-207-5574",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEISTER",
        "first_name": "STEPHANIE",
        "middle_name": "L",
        "credential": "LIMHP, MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-13",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NE",
            "license": "2047",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "2736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.