Active NPI
Heather Childears, M.A.
- Mental Health Counselor
- North Platte, NE
National Provider Identifier
1134589583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 5582
- Practice address
- 120 N Dewey St
North Platte, NE 69101-5438 - Phone
- (308) 532-3000
- NPI assigned
- Feb 27, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 10802 | NE | |
| Mental Health Counselor | 101YM0800X | 5582 | NE | Primary |
Addresses
Primary practice location
120 N Dewey St
North Platte, NE 69101-5438
Mailing address
120 N Dewey St
North Platte, NE 69101-5438
Phone (308) 534-4471
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 22, 2024 through Feb 22, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10802 | NE | MD | Mental Health Counselor |
| 5582 | NE | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616371200000",
"number": "1134589583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 N DEWEY ST",
"city": "NORTH PLATTE",
"state": "NE",
"postal_code": "691015438",
"telephone_number": "308-534-4471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 N DEWEY ST",
"city": "NORTH PLATTE",
"state": "NE",
"postal_code": "691015438",
"telephone_number": "308-532-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHILDEARS",
"first_name": "HEATHER",
"credential": "M.A.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-02-27",
"last_updated": "2021-03-22",
"certification_date": "2021-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "10802",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "5582",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Platte, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.