Kirsten Stidham, LIMHP

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2136 Issued in NE

Practice address

8922 Cuming St
Omaha, NE 68114-2732

Phone

(402) 926-4373

Fax

(402) 926-3898

NPI assigned

Nov 4, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: behavenkids.kirstenstidham@137640.advancedmd-direct.com

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.

• Stidham Counseling Services, LLC

  • Community/Behavioral Health Agency
  • Omaha, NE
  • NPI 1063003499
  NPD Authorized official

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

{
    "created_epoch": "1415059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631059200000",
    "number": "1104222041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2036 N 63RD ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681044712",
            "telephone_number": "515-451-7523",
            "fax_number": "402-933-9998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8922 CUMING ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681142732",
            "telephone_number": "402-926-4373",
            "fax_number": "402-926-3898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STIDHAM",
        "first_name": "KIRSTEN",
        "credential": "LIMHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-04",
        "last_updated": "2021-09-08",
        "certification_date": "2021-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "10393",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NE",
            "license": "2136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caleb Michael Stickney
• Deanna Keay Stickney, ATC
• Jeanette Stickney
• Sandi Stickrod
• Stidham Counseling Services, LLC
• Kyla Stidham
• Kari Ann Stieb
• Tammy Stiehl
• Kristine M. Stienike, PT
• Shannon Stigall

• Professional Counselor in Omaha, NE
• Providers in Omaha, NE by specialty
• Professional Counselor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2021; 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.