Stephanie Ann Ewoldt, LIMHP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

1852 Issued in NE

Practice address

1919 S 40TH St Ste 300
Lincoln, NE 68506-5248

Phone

(402) 413-1751

Fax

(833) 831-9280

NPI assigned

Dec 22, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Ewoldt Counseling Service, LLC

  • Mental Health Counselor
  • Lincoln, NE
  • NPI 1295241263
  NPD Authorized official

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

{
    "created_epoch": "1419206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603756800000",
    "number": "1104214386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 S. 40TH ST. #300",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685065248",
            "telephone_number": "402-413-1751",
            "fax_number": "833-831-9280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 S 40TH ST STE 300",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685065248",
            "telephone_number": "402-413-1751",
            "fax_number": "833-831-9280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EWOLDT",
        "first_name": "STEPHANIE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LIMHP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-22",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "1852",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NA",
            "identifier": "823345751",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Ewert
• Katilyn Irene Ewert
• Kyleigh Marie Ewing-Bushnell
• Meghin Ewing
• Ewoldt Counseling Service, LLC
• Sonnie Ewunonu, MSN, APRN
• Excel Chiropractic and Wellness P.C.
• Exhale Behavioral Health LLC
• Express Life Chiropractic LLC
• Denise Anne Exstrom Larsen, PT

• Mental Health Counselor in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Mental Health Counselor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; 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.