Active NPI
Mary Beth Wichelt, PLADC
- Addiction (Substance Use Disorder) Counselor
- Omaha, NE
National Provider Identifier
1295934230
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- P350
- Practice address
- 2101 S 42ND St
Heartland Family Service
Omaha, NE 68105 - Phone
- (402) 553-3000
- Fax
- (402) 552-7444
- NPI assigned
- Jul 11, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | P350 | NE | Primary |
Addresses
Primary practice location
2101 S 42ND St
Heartland Family Service
Omaha, NE 68105
Mailing address
16005 N 2ND St
Bennington, NE 68007
Phone (402) 880-7949
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P350 | NE | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184112000000",
"number": "1295934230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16005 N 2ND ST",
"city": "BENNINGTON",
"state": "NE",
"postal_code": "68007",
"telephone_number": "402-880-7949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2101 S 42ND ST",
"address_2": "HEARTLAND FAMILY SERVICE",
"city": "OMAHA",
"state": "NE",
"postal_code": "68105",
"telephone_number": "402-553-3000",
"fax_number": "402-552-7444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WICHELT",
"first_name": "MARY BETH",
"credential": "PLADC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-11",
"last_updated": "2007-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NE",
"license": "P350",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.