Individual provider Active NPI

Stacey Dawn Michels, LMHP, LIMHP, PLADC

  • Mental Health Counselor
  • Geneva, NE
National Provider Identifier
1144390642
Registry record updated Sep 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2802 Issued in NE
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, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2009

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
10025618500MedicaidNE
47084125026MedicaidNE

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
Green means eligible to order or refer.
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

LicenseStateTypeSpecialty
P-838NEMDAddiction (Substance Use Disorder) Counselor
2802NEMDMental 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

Sources for this page

Verify at the official NPI Registry.