Active NPI
Victoria Elizabeth Stegall, MA, LMHP, PLADAC
- Mental Health Counselor
- Elkhorn, NE
National Provider Identifier
1275763450
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 4955
- Practice address
- 1045 S 217TH St
Elkhorn, NE 68022-1933 - Phone
- (541) 232-5506
- NPI assigned
- Jul 21, 2009
- Last updated
- May 8, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 4955 | NE | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | P-1475 | NE |
Addresses
Primary practice location
1045 S 217TH St
Elkhorn, NE 68022-1933
Mailing address
1045 S 217TH St
Elkhorn, NE 68022-1933
Phone (541) 232-5506
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P-1475 | NE | MD | Addiction (Substance Use Disorder) Counselor |
| 4955 | NE | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494201600000",
"number": "1275763450",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1045 S 217TH ST",
"city": "ELKHORN",
"state": "NE",
"postal_code": "680221933",
"telephone_number": "541-232-5506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1045 S 217TH ST",
"city": "ELKHORN",
"state": "NE",
"postal_code": "680221933",
"telephone_number": "541-232-5506"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEGALL",
"first_name": "VICTORIA",
"middle_name": "ELIZABETH",
"credential": "MA, LMHP, PLADAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-07-21",
"last_updated": "2017-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "4955",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NE",
"license": "P-1475",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elkhorn, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.