NPIMap

Organization Active NPI

Ewoldt Counseling Service, LLC

  • Mental Health Counselor
  • Lincoln, NE
National Provider Identifier
1295241263
Registry record updated Oct 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
EWOLDT COUNSELING SERVICE, LLC
Practice address
1919 S 40TH St Ste 300
Lincoln, NE 68506-5248
Phone
(402) 413-1751
Fax
(833) 831-9280
NPI assigned
Dec 28, 2017
Last updated
Oct 27, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2020

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

Authorized official

Name
Stephanie Ewoldt, LIMHP, LPCNPI 1104214386
Title
Owner
Phone
(402) 413-1751

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

1919 S 40TH St Ste 300
Lincoln, NE 68506-5248

Mailing address

1919 S 40TH St Ste 300
Lincoln, NE 68506-5248
Phone (402) 413-1751

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1514419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603756800000",
    "number": "1295241263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 S 40TH ST STE 300",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685065248",
            "telephone_number": "402-413-1751",
            "fax_number": "833-831-9280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 S 40TH ST STE 300",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685065248",
            "telephone_number": "402-413-1751",
            "fax_number": "833-831-9280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EWOLDT COUNSELING SERVICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-28",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A",
        "authorized_official_last_name": "EWOLDT",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-413-1751",
        "authorized_official_credential": "LIMHP, LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.