Individual provider Active NPI

Shannon Heath, PLMHP

  • Mental Health Counselor
  • Omaha, NE
National Provider Identifier
1215595053
Registry record updated Apr 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
11875 Issued in NE
Practice address
13520 Discovery Dr Ste 106
Omaha, NE 68137-3002
Phone
(402) 317-2932
NPI assigned
Jun 5, 2019
Last updated
Apr 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240105000464 NE Practitioner - Mental Health Counselor 9537510300 Reassigns benefits to 2 organizations

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

LicenseStateTypeSpecialty
11875NEMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Caritas Counseling Inc. CurrentSince Jan 1, 2024 Accepting new patients
Shannon R Heath Counseling CurrentSince Apr 1, 2024 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.

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

Verify at the official NPI Registry.