Individual provider Active NPI

Stephanie Ebers McLeese-Griffin, MA

  • Mental Health Counselor
  • Lincoln, NE
National Provider Identifier
1184891640
Registry record updated Dec 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
3867 Issued in NE
Practice address
2300 S 16TH St
Lincoln, NE 68502-3780
Phone
(140) 254-0029
NPI assigned
May 14, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2023

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 889 NE
Professional Counselor 101YP2500X 1917 NE
Mental Health Counselor 101YM0800X 3867 NE Primary

Addresses

Primary practice location

2300 S 16TH St
Lincoln, NE 68502-3780

Mailing address

5943 Arrow Wood Rd
Lincoln, NE 68526-9513
Phone (402) 540-0298

Other identifiers 1

IdentifierTypeStateIssuer
1002559600MedicaidNE

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
I20240119002917 NE Practitioner - Mental Health Counselor 1456703925 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
889NEMDMental Health Counselor
3867NEMDPhysical Therapist
994NEMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Bryan Medical Center Current Accepting new patients
Bryan Medical Center Professional CurrentSince Jan 1, 2024 Accepting new patients
Bryan Medical Center CurrentSince Jan 1, 2024 Accepting new patients

Locations

2300 S 16th St
Lincoln, NE 68502
Phone (402) 434-6042

1600 S 48th St
Lincoln, NE 68506
Phone (402) 481-9049

2221 S 17th St
Ste 201
Lincoln, NE 68502
Phone (402) 481-5991

Organizations & group practices 3

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": "1210723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702339200000",
    "number": "1184891640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5943 ARROW WOOD RD",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685269513",
            "telephone_number": "402-540-0298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 S 16TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685023780",
            "telephone_number": "140-254-0029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLEESE-GRIFFIN",
        "first_name": "STEPHANIE",
        "middle_name": "EBERS",
        "name_prefix": "Miss",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-14",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NE",
            "license": "889",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NE",
            "license": "1917",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "3867",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1002559600",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.