Stephanie Sorum

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

10057 Issued in NE

Practice address

11840 Nicholas St Ste 205
Omaha, NE 68154-4475

Phone

(402) 819-7510

Fax

(402) 819-0915

NPI assigned

Aug 26, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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.

• Stephanie Sorum LLC

  • Mental Health Counselor
  • Omaha, NE
  • NPI 1649746306
  NPD Authorized official

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

{
    "created_epoch": "1377475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638230400000",
    "number": "1114351244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19710 L ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681353709",
            "telephone_number": "402-819-7510",
            "fax_number": "402-819-0915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11840 NICHOLAS ST STE 205",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681544475",
            "telephone_number": "402-819-7510",
            "fax_number": "402-819-0915"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17940 Welch Plz Ste 106",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681353714",
            "country_code": "US",
            "telephone_number": "402-819-7510",
            "fax_number": "402-819-0915",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SORUM",
        "first_name": "STEPHANIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-26",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "10057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Grace Sorrick, MD
• Samantha Sorsby
• Leslie Sorsoli
• Sarah Ann Sortino, R.D., L.M.N.T.
• Lorena Sorto
• Karyme Sosa Martinez
• Debra Rae Sosa, RN
• Edgar A Sosa, CNA
• Maria Elvira Sosa
• Nelda Sosa

• Mental Health Counselor in Omaha, NE
• Providers in Omaha, 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 Nov 30, 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.