Individual provider Active NPI

Stefanie Michele Bezduch, PLMHP

  • Mental Health Counselor
  • Omaha, NE
National Provider Identifier
1285346676
Registry record updated Dec 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
13240 Issued in NE
Practice address
11640 Arbor St Ste 101
Omaha, NE 68144-5007
Phone
(520) 678-8795
NPI assigned
Dec 19, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2022

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 13240 NE Primary

Addresses

Primary practice location

11640 Arbor St Ste 101
Omaha, NE 68144-5007

Mailing address

11640 Arbor St Ste 101
Omaha, NE 68144-5007
Phone (520) 678-8795

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
I20260611000842 NE Practitioner - Mental Health Counselor 4981175643 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

11640 Arbor St
Suite 101
Omaha, NE 68144-5007

PO Box
Suite 5201
Lincoln, NE 68505

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13240NEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Hope Collaborative LLC Mental Health Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1671408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671408000000",
    "number": "1285346676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11640 ARBOR ST STE 101",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681445007",
            "telephone_number": "520-678-8795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11640 ARBOR ST STE 101",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681445007",
            "telephone_number": "520-678-8795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEZDUCH",
        "first_name": "STEFANIE",
        "middle_name": "MICHELE",
        "credential": "PLMHP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-19",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "13240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.