Individual provider Active NPI

John Paul Czapenski III, BS, LADC

  • Addiction (Substance Use Disorder) Counselor
  • Omaha, NE
National Provider Identifier
1184167124
Registry record updated May 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
1212 Issued in NE
Practice address
8998 L St Ste 110
Omaha, NE 68127-1400
Phone
(402) 651-5404
Fax
(402) 500-3341
NPI assigned
Nov 23, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X P-1095 NE
Addiction (Substance Use Disorder) Counselor 101YA0400X 1212 NE Primary

Addresses

Primary practice location

8998 L St Ste 110
Omaha, NE 68127-1400

Mailing address

8998 L St Ste 110
Omaha, NE 68127-1400
Phone (402) 651-5404

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
I20260523000413 NE Practitioner - Mental Health Counselor 5991275653 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2202 S
11St
Lincoln, NE 68102

2202 S 11TH St
Lincoln, NE 68502-3559

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
P-1095NEMDAddiction (Substance Use Disorder) Counselor
1212NEMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Halo Counseling Center, LLC Addiction (Substance Use Disorder) CurrentSince Jan 31, 2021 Accepting new patients

Locations

8998 L St
Ste 110
Omaha, NE 68127
Phone (402) 210-9058

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": "1479859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496188800000",
    "number": "1184167124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8998 L ST STE 110",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681271400",
            "telephone_number": "402-651-5404",
            "fax_number": "402-500-3341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8998 L ST STE 110",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681271400",
            "telephone_number": "402-651-5404",
            "fax_number": "402-500-3341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CZAPENSKI",
        "first_name": "JOHN",
        "middle_name": "PAUL",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "BS, LADC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-11-23",
        "last_updated": "2017-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NE",
            "license": "P-1095",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NE",
            "license": "1212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.