Active NPI
Shannon Heath, PLMHP
- Mental Health Counselor
- Omaha, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 11875
- Practice address
- 13520 Discovery Dr Ste 106
Omaha, NE 68137-3002 - Phone
- (402) 317-2932
- NPI assigned
- Jun 5, 2019
- Last updated
- Apr 8, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 11875 | NE | Primary |
Addresses
Primary practice location
13520 Discovery Dr Ste 106
Omaha, NE 68137-3002
Mailing address
12305 Gold St # 5
Omaha, NE 68144-2760
Phone (402) 330-2691
Other practice location 1
12305 Gold St # 5
Omaha, NE 68144-2760
Phone (402) 330-2691
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
13520 Discovery Dr
Suite 106
Omaha, NE 68137-3002
Phone (402) 317-2932
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11875 | NE | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Caritas Counseling Inc. | Current | Accepting new patients | |
| Shannon R Heath Counseling | Current | Accepting new patients |
Locations
12305 Gold St
#5
Omaha, NE 68144
Phone (402) 330-2691
13520 Discovery Dr
Ste 106
Omaha, NE 68137
Phone (402) 317-2932
8424 W Center Rd
Ste 209
Omaha, NE 68124
Phone (402) 881-8129
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Embrace Therapy
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Omaha, NE
- NPI 1689426702
-
- Clinical Social Worker
- Omaha, NE
- NPI 1548794985
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712534400000",
"number": "1215595053",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12305 GOLD ST # 5",
"city": "OMAHA",
"state": "NE",
"postal_code": "681442760",
"telephone_number": "402-330-2691",
"fax_number": "844-389-5770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13520 DISCOVERY DR STE 106",
"city": "OMAHA",
"state": "NE",
"postal_code": "681373002",
"telephone_number": "402-317-2932"
}
],
"practiceLocations": [
{
"address_1": "12305 Gold St # 5",
"address_purpose": "LOCATION",
"city": "Omaha",
"state": "NE",
"postal_code": "681442760",
"country_code": "US",
"telephone_number": "402-330-2691",
"fax_number": "844-389-5770",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HEATH",
"first_name": "SHANNON",
"credential": "PLMHP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-05",
"last_updated": "2024-04-08",
"certification_date": "2024-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "11875",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; 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.