Debra J. Hallstrom, MS LIMHP LMHP LADC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

2332 Issued in NE

Practice address

2170 N Platte Ave
Fremont, NE 68025-2630

Phone

(402) 720-8220

Fax

(402) 753-6445

NPI assigned

Feb 9, 2007

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

Other names 1

• Debra J. Mggill/Ellis Former name

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

Specialty

Mental Health Counselor

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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 and National Provider Directory roles.

• Holly Kiefer LLC

  • Mental Health Counselor
  • Fremont, NE
  • NPI 1154143022
  NPD
• Awareness Counseling LLC

  • Mental Health Counselor
  • Fremont, NE
  • NPI 1083905988
  NPD (past)

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703116800000",
    "number": "1225179609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2170 N PLATTE AVE",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680252630",
            "telephone_number": "402-720-8220",
            "fax_number": "402-753-6445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2170 N PLATTE AVE",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680252630",
            "telephone_number": "402-720-8220",
            "fax_number": "402-753-6445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLSTROM",
        "first_name": "DEBRA",
        "middle_name": "J.",
        "credential": "MS LIMHP LMHP LADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-09",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "2332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBRA",
            "last_name": "MGGILL/ELLIS",
            "middle_name": "J.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Terri Annette Haith
• Kimberly Hale, DPT
• Brielle Hall
• Rochelle Hall
• Matthew Halloran, PLMHP
• Aryn Halsey
• Charles Milo Halverson, DPM
• Gavin Conner Hamilton-Davis
• Alex JG Hamilton, PHARMD
• Kaitlyn-Michelle Hamilton, PLADC

• Mental Health Counselor in Fremont, NE
• Providers in Fremont, NE by specialty
• Mental Health Counselor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2023; 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.