Individual provider Active NPI

Christine Fong Swinney

  • Counselor
  • Omaha, NE
National Provider Identifier
1205396934
Registry record updated Mar 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
11297 Issued in NE
Practice address
4565 S 133Rd St
Omaha, NE 68137-1142
Phone
(402) 590-2947
NPI assigned
Mar 20, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 11297 NE Primary

Addresses

Primary practice location

4565 S 133Rd St
Omaha, NE 68137-1142

Mailing address

11612 Camden Ave
Omaha, NE 68164-2033
Phone (402) 578-5140

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
I20240911003315 NE Practitioner - Mental Health Counselor 4385184704 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11207 W Dodge Rd
Suite 250
Omaha, NE 68154-2650
Phone (402) 674-4440

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11297NEMDCounselor
3192NEMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Love and Light Counseling LLC Counselor CurrentSince Jul 29, 2024 Accepting new patients

Locations

11207 W Dodge Rd
Ste 250
Omaha, NE 68154
Phone (402) 578-5140

Organizations & group practices 1

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": "1553040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553040000000",
    "number": "1205396934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11612 CAMDEN AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681642033",
            "telephone_number": "402-578-5140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4565 S 133RD ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681371142",
            "telephone_number": "402-590-2947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWINNEY",
        "first_name": "CHRISTINE",
        "middle_name": "FONG",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-20",
        "last_updated": "2019-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NE",
            "license": "11297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.