Active NPI
Stacey Dawn Michels, LMHP, LIMHP, PLADC
- Mental Health Counselor
- Geneva, NE
National Provider Identifier
1144390642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 2802
- Practice address
- 942 N 13TH St
Geneva, NE 68361-0000 - Phone
- (402) 759-3802
- Fax
- (402) 759-3803
- NPI assigned
- Nov 9, 2006
- Last updated
- Sep 25, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 626 | NE | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | P-838 | NE | |
| Mental Health Counselor | 101YM0800X | 2802 | NE | Primary |
Addresses
Primary practice location
942 N 13TH St
Geneva, NE 68361-0000
Mailing address
942 N 13TH St
Geneva, NE 68361-0000
Phone (402) 759-3802
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10025618500 | Medicaid | NE | |
| 47084125026 | Medicaid | NE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Previously, effective Oct 1, 2024 through Oct 1, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P-838 | NE | MD | Addiction (Substance Use Disorder) Counselor |
| 2802 | NE | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1253836800000",
"number": "1144390642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "942 N 13TH ST",
"city": "GENEVA",
"state": "NE",
"postal_code": "683610000",
"telephone_number": "402-759-3802",
"fax_number": "402-759-3803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "942 N 13TH ST",
"city": "GENEVA",
"state": "NE",
"postal_code": "683610000",
"telephone_number": "402-759-3802",
"fax_number": "402-759-3803"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MICHELS",
"first_name": "STACEY",
"middle_name": "DAWN",
"credential": "LMHP, LIMHP, PLADC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-09",
"last_updated": "2009-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NE",
"license": "626",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NE",
"license": "P-838",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "2802",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025618500",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47084125026",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Geneva, NE
- Jocelyn Michelle Lemke, M.A, LIMHP, LPC
- Manor of Geneva, Inc (Heritage Crossing)
- Kara McKeone, M.S.
- Michael S. Becker, PC
- Michelle Lemke, PC (Lemke-Michels Psychotherapy)
- Joseph Patrick Miller
- Kara Myers
- Nancy a Dob, OD, PC (Mid America vision Center)
- Robert James Nunns, PHARMD
- Emilee Lauren O'Brien
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.