Active NPI
Sandy S Stevenson, LIMHP, LADC
- Mental Health Counselor
- Bellevue, NE
National Provider Identifier
1114166444
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 2998
- Practice address
- 708 Fort Crook Rd N
Bellevue, NE 68005-4558 - Phone
- (402) 715-0296
- NPI assigned
- Feb 10, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | P-1472 | NE | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1273 | NE | |
| Mental Health Counselor | 101YM0800X | 3680 | NE | |
| Mental Health Counselor | 101YM0800X | 2998 | NE | Primary |
Addresses
Primary practice location
708 Fort Crook Rd N
Bellevue, NE 68005-4558
Mailing address
2208 Lucille Dr
Omaha, NE 68147-2505
Phone (402) 715-0296
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P-1472 | NE | MD | Addiction (Substance Use Disorder) Counselor |
| 2998 | NE | MD | Mental Health Counselor |
| 1273 | NE | MD | Chiropractor |
| 3680 | NE | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northpoint Nebraska LLC | Past | Accepting new patients |
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.
-
- Substance Abuse Rehabilitation Facility
- Omaha, NE
- NPI 1023692159
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656460800000",
"number": "1114166444",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2208 LUCILLE DR",
"city": "OMAHA",
"state": "NE",
"postal_code": "681472505",
"telephone_number": "402-715-0296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "708 FORT CROOK RD N",
"city": "BELLEVUE",
"state": "NE",
"postal_code": "680054558",
"telephone_number": "402-715-0296"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEVENSON",
"first_name": "SANDY",
"middle_name": "S",
"credential": "LIMHP, LADC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-02-10",
"last_updated": "2022-06-29",
"certification_date": "2022-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NE",
"license": "P-1472",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NE",
"license": "1273",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "3680",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "2998",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bellevue, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.