Individual provider Active NPI

Ida Marie Hebrank, LADC LIMHP CMSW

  • Mental Health Counselor
  • Omaha, NE
National Provider Identifier
1144387267
Registry record updated Jan 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
884 Issued in NE
Practice address
8715 Oak St
Omaha, NE 68124-3051
Phone
(402) 333-0898
Fax
(402) 333-0988
NPI assigned
Jan 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 679 NE
Mental Health Counselor 101YM0800X 884 NE Primary
Clinical Social Worker 1041C0700X 1297 NE

Addresses

Primary practice location

8715 Oak St
Omaha, NE 68124-3051

Mailing address

8715 Oak St
Omaha, NE 68124-3051
Phone (402) 333-0898

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190417001730 NE Practitioner - Clinical Social Worker 9537400643 Practice locations: Bellevue, NE

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1406 Fort Crook Rd S
Suite 401
Bellevue, NE 68005-2980
Phone 4025419698000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
884NEMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Im Hebrank Psychotherapy Current Accepting new patients
Omni Behavioral Health Past Accepting new patients

Locations

1406 Fort Crook Rd S
Ste 401
Bellevue, NE 68005
Phone (402) 292-7712

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327881600000",
    "number": "1144387267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8715 OAK ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681243051",
            "telephone_number": "402-333-0898",
            "fax_number": "402-333-0988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8715 OAK ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681243051",
            "telephone_number": "402-333-0898",
            "fax_number": "402-333-0988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEBRANK",
        "first_name": "IDA MARIE",
        "credential": "LADC LIMHP CMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2012-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NE",
            "license": "679",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "884",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NE",
            "license": "1297",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.