Individual provider Active NPI

Melissa Sandoz, PLMHP

  • Mental Health Counselor
  • South Sioux City, NE
National Provider Identifier
1295498483
Registry record updated Apr 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
12797 Issued in NE
Practice address
1201 Arbor Dr
South Sioux City, NE 68776-2652
Phone
(402) 494-3337
NPI assigned
Oct 15, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2023

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 12797 NE Primary

Addresses

Primary practice location

1201 Arbor Dr
South Sioux City, NE 68776-2652

Mailing address

PO Box 355
South Sioux City, NE 68776-0355

Other practice location 1

938 E Zero St
Ainsworth, NE 69210-1555
Phone (402) 508-0172

Other practice location 2

221 W Douglas St
ONeill, NE 68763-1715
Phone (402) 508-0172

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
I20240103002199 NE Practitioner - Mental Health Counselor 8426408485 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1201 Arbor Dr
South Sioux City, NE 68776-2421
Phone 4024943337112

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12797NEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Heartland Counseling Services, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Heartland Counseling Services.Inc. CurrentSince Jan 1, 2024 Accepting new patients

Locations

938 E Zero St
Ainsworth, NE 69210
Phone (402) 387-1900

221 W Douglas St
Oneill, NE 68763
Phone (402) 336-2800

917 W 21st St
South Sioux City, NE 68776
Phone (402) 494-7655

1201 Arbor Dr
South Sioux City, NE 68776

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1634256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680825600000",
    "number": "1295498483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 355",
            "city": "SOUTH SIOUX CITY",
            "state": "NE",
            "postal_code": "687760355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 ARBOR DR",
            "city": "SOUTH SIOUX CITY",
            "state": "NE",
            "postal_code": "687762652",
            "telephone_number": "402-494-3337"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "938 E Zero St",
            "address_purpose": "LOCATION",
            "city": "Ainsworth",
            "state": "NE",
            "postal_code": "692101555",
            "country_code": "US",
            "telephone_number": "402-508-0172",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "221 W Douglas St",
            "address_purpose": "LOCATION",
            "city": "ONeill",
            "state": "NE",
            "postal_code": "687631715",
            "country_code": "US",
            "telephone_number": "402-508-0172",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDOZ",
        "first_name": "MELISSA",
        "credential": "PLMHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-15",
        "last_updated": "2023-04-07",
        "certification_date": "2023-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "12797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Sioux City, NE

Sources for this page

Verify at the official NPI Registry.