Stephanie Stockham-Ronollo, LIMPH

Primary specialty

CounselorTaxonomy code 101Y00000X

License

1436 Issued in NE

Practice address

636 S 31St Ave
Omaha, NE 68105-1404

Phone

(402) 718-3452

NPI assigned

Sep 29, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

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

Specialty

Mental Health Counselor

Education

Other

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Roots Renewal Counseling, Inc

  • Mental Health Counselor
  • Bend, OR
  • NPI 1336803451
  Medicare reassignment NPD Authorized official
• Roots Renewal Counseling

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Kirkwood, MO
  • NPI 1811492077
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1443484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443484800000",
    "number": "1215307525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "636 S 31ST AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681051404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "636 S 31ST AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681051404",
            "telephone_number": "402-718-3452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOCKHAM-RONOLLO",
        "first_name": "STEPHANIE",
        "credential": "LIMPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-29",
        "last_updated": "2015-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NE",
            "license": "1436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Stjohn
• Dillon Stock
• Erin R Stock, PA-C
• Owen Stock
• Terry Francis Stock, MD
• Jill Kristine Stocking, OTR/L
• Brianna Stockton
• Debbie Stoddard
• Martin Stoddard, PTA
• Melissa Stoddard, PTA

• Counselor in Omaha, NE
• Providers in Omaha, NE by specialty
• Counselor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2015; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.